Individual
SANDRA MCCLENNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
7800 W OUTER DR STE 300, DETROIT, MI 48235-3458
(313) 340-4442
Mailing address
619 N SHELDON RD, PLYMOUTH, MI 48170-1046
(734) 453-6857
(734) 453-1454
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6301001694
MI
Other
Enumeration date
09/25/2013
Last updated
07/22/2019
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