Individual
REATHA DARLENE DRWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 762-5243
Mailing address
8416 GALE RD, GOODRICH, MI 48438-9261
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013178
MI
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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