Individual
DELMARSHEA DENISE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
2751 E JEFFERSON AVE, DETROIT, MI 48207-4180
(313) 993-3434
Mailing address
3800 WOODWARD AVE, STE 600, DETROIT, MI 48201-2061
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013623
MI
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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