Individual
MARION DURISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, L.P.C.
Contact information
Practice address
11111 HALL RD, SUITE 400, UTICA, MI 48317-5711
(586) 419-3423
(586) 997-4956
Mailing address
11111 HALL RD, SUITE 400, UTICA, MI 48317-5711
(586) 419-3423
(586) 997-4956
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401221246
MI
Other
Enumeration date
11/03/2005
Last updated
11/16/2007
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