Individual
MR. MARK RENE DESROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,L.L.P.
Contact information
Practice address
159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 48236-3610
(313) 640-2217
Mailing address
5425 COPLEY SQUARE RD, GRAND BLANC, MI 48439-8743
(810) 694-1008
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
L1182507
MI
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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