Individual
CHRISTINA SIDERS WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 N CENTER ST, NORTHVILLE, MI 48167-1277
(313) 656-4052
Mailing address
7448 N LAFAYETTE ST, DEARBORN HEIGHTS, MI 48127-1759
(248) 890-1025
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301017325
MI
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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