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Individual

MRS. CAROLYN WHITAKER DEWINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LLP

Contact information

Practice address
617 EASTLOOK DR, SALINE, MI 48176-1578
(734) 478-4559
Mailing address
617 EASTLOOK DR, SALINE, MI 48176-1578
(734) 478-4559

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018081
MI
103TC0700X
Clinical Psychologist
Primary
6361007870
MI

Other

Enumeration date
09/19/2019
Last updated
04/29/2026
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