THERESA S DELACENSERIE

WYOMING, MI
NPI1477585479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: MI  1601001097)
Additional Taxonomies231H00000X Audiologist
(Licence: IL  147001192)
Enumeration Date2006-07-07
Last Update Date2024-06-26
Business Address
THERESA S DELACENSERIE
1555 44TH ST SW
WYOMING, MI 49509-4313
Phone number: 616-888-3240
Mailing Address
THERESA S DELACENSERIE
1555 44TH ST SW
WYOMING, MI 49509-4313
Phone number: 616-888-3240