Individual
MS. HEATHER JEAN DECORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4410 W 13 MILE RD, ROYAL OAK, MI 48073-6515
(313) 658-2359
Mailing address
10231 WESTLAKE ST, TAYLOR, MI 48180-3267
(313) 658-2359
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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