Individual
MRS. ROSE DASARO LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.L.P
Contact information
Practice address
19291 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-1500
Mailing address
14139 HUFF DR, WARREN, MI 48088-6045
(313) 980-6398
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012171
MI
Other
Enumeration date
10/02/2007
Last updated
01/19/2011
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