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1538408976
CAROL MARIE WASIAK
DETROIT, MI
NPI
1538408976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301015170)
Enumeration Date
2013-02-05
Last Update Date
2017-11-28
Business Address
CAROL MARIE WASIAK MA TLLP
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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Mailing Address
CAROL MARIE WASIAK MA TLLP
27851 MIDDLE POINTE DR UNIT 112Q
HARRISON TOWNSHIP, MI 48045-6833
Phone number: 586-206-9035
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