Individual
MRS. DEIDRA MCCARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
391 LAKE SHORE DR, PONTIAC, MI 48341-1086
(248) 242-3486
Mailing address
391 LAKE SHORE DR, PONTIAC, MI 48341-1086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006034
MI
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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