Individual
MS. LESLIE MAE WIREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
914 AIRPORT RD, JACKSON, MI 49202
(517) 499-2976
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010207
MI
Other
Enumeration date
02/27/2007
Last updated
08/09/2019
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