Individual
DEBRA L DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LLP, LPC
Contact information
Practice address
43900 GARFIELD RD, SUITE 222, CLINTON TOWNSHIP, MI 48038-1128
(586) 263-1234
Mailing address
14951 PARK VIEW CT, STERLING HEIGHTS, MI 48313-5771
(586) 566-6410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010563
MI
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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