Individual
ELIZABETH ANN DECKER-HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.L.P, L.P.C.
Contact information
Practice address
3217 GREENLEAF BLVD STE D, KALAMAZOO, MI 49008-2596
(269) 339-0557
Mailing address
3217 GREENLEAF BLVD STE D, KALAMAZOO, MI 49008-2596
(269) 359-0557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401009590
MI
103T00000X
Psychologist
Primary
6361004298
MI
Other
Enumeration date
12/17/2007
Last updated
09/23/2024
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