Individual
MRS. DELORES USHER TYBURCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
17189 FIVE POINTS ST, REDFORD, MI 48240-2119
(313) 537-0372
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301015046
MI
Other
Enumeration date
03/10/2012
Last updated
03/10/2012
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