Individual
MELANIE VIERECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16200 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1103
(586) 263-8700
Mailing address
21707 W 14 MILE RD, BEVERLY HILLS, MI 48025-2659
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015891
MI
Other
Enumeration date
05/20/2014
Last updated
11/05/2014
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