Individual
DR. MAREITTA RENE ALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
25401 HARPER AVE, SAINT CLAIR SHORES, MI 48081-2240
(586) 466-6912
Mailing address
12537 LAING ST, DETROIT, MI 48224-1092
(313) 372-4887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008227
MI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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