Individual
LEANN ELIZABETH DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1006 MOORLAND DR, GROSSE POINTE WOODS, MI 48236-1131
(313) 701-9229
Mailing address
1006 MOORLAND DR, GROSSE POINTE WOODS, MI 48236-1131
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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