Individual
MR. DENNIS YAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SWT, CAC1
Contact information
Practice address
2710 12 MILE RD, BERKLEY, MI 48072-1630
(248) 543-1090
(248) 543-0017
Mailing address
9531 CHAREST ST, HAMTRAMCK, MI 48212-3562
(248) 543-1090
(248) 543-0017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6801064873
MI
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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