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1144887936
CHRISTINE BETH WILSON DE MEDINA
BLOOMFIELD HILLS, MI
NPI
1144887936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MI L915934)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
CHRISTINE BETH WILSON DE MEDINA M.S.,L.L.P.
W-4111 ANDOVER ROAD
BLOOMFIELD HILLS, MI 48302
Phone number: 248-290-5400
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Mailing Address
CHRISTINE BETH WILSON DE MEDINA M.S.,L.L.P.
17719 ODYSSEY
BELLEVILLE, MI 48111-9152
Phone number: 248-943-6151
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