Individual
DEANN WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6548 TOWN CENTER DR STE D, CLARKSTON, MI 48346-4823
(644) 231-8448
Mailing address
1727 CANTON ST, DETROIT, MI 48207-3603
(313) 595-6261
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6362009532
MI
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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