DAVE WESLEY BUSSELL

WAYNE, MI
NPI1063930758
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6361004483)
Enumeration Date2017-09-02
Last Update Date2020-06-30
Business Address
DAVE WESLEY BUSSELL
34841 VETERANS PLZ
WAYNE, MI 48184-1733
Phone number: 313-292-7640
Mailing Address
DAVE WESLEY BUSSELL
34841 VETERANS PLZ
WAYNE, MI 48184-1733
Phone number: 313-292-7640
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