Individual
MS. MARY ANDREA DECLERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.L.P
Contact information
Practice address
50630 CHESTERFIELD RD, CHESTERFIELD, MI 48051-4009
(586) 949-7680
(586) 949-7681
Mailing address
50630 CHESTERFIELD RD, CHESTERFIELD, MI 48051-4009
(586) 949-7680
(586) 949-7681
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301009690
MI
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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