Individual
MS. KORI EILEEN CARSON DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, MS, SSP, ABSNP
Contact information
Practice address
1091 CREEKWOOD TRL, BURTON, MI 48509-1500
(810) 391-2923
(810) 391-2968
Mailing address
1091 CREEKWOOD TRL, BURTON, MI 48509-1500
(810) 391-2923
(810) 391-2968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301016021
MI
103TS0200X
School Psychologist
Primary
SP0000000836585
MI
Other
Enumeration date
07/24/2014
Last updated
11/02/2023
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