Individual
SYDNEY DERSHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 S COCHRAN AVE, CHARLOTTE, MI 48813-1510
(517) 325-9090
Mailing address
4596 W TOWNSEND RD, SAINT JOHNS, MI 48879-9628
(989) 640-9217
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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