Individual
DR. DEBRA JO MACKLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 475-4040
Mailing address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 475-4040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301013927
MI
103TC0700X
Clinical Psychologist
6301013927
MI
Other
Enumeration date
02/08/2010
Last updated
01/10/2023
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