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Individual

DEBRA CHISHOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5752
(734) 544-3000
(734) 544-6732
Mailing address
35724 ABBEY DR, ROMULUS, MI 48174-6356
(734) 222-3429
(734) 222-3461

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802080093
MI

Other

Enumeration date
08/08/2016
Last updated
08/08/2016
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