Individual
MRS. THERESA LYNN KORROCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LLP
Contact information
Practice address
9315 TELEGRAPH, REDFORD, MI 48239
(313) 450-4500
(313) 450-4514
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361003635
MI
Other
Enumeration date
08/09/2006
Last updated
05/11/2020
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