Individual
DONNA WARNER MANCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
21400 E ELEVEN MIL RD, ST CLAIR SHORES, MI 48081
(586) 498-4400
Mailing address
21400 E ELEVEN MIL RD, ST CLAIR SHORES, MI 48081
(586) 498-4400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007583
MI
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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