DERRICK DESHAWN-MARCUS MCCULLOM

WESTLAND, MI
NPI1447020573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  6401223703)
Enumeration Date2024-01-09
Last Update Date2024-01-11
Business Address
DERRICK DESHAWN-MARCUS MCCULLOM LPC
34290 FORD RD
WESTLAND, MI 48185-3051
Phone number: 313-445-2695
Mailing Address
DERRICK DESHAWN-MARCUS MCCULLOM LPC
34290 FORD RD
WESTLAND, MI 48185-3051
Phone number: 313-445-2695
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