GLENN L DERRICK

SOUTHGATE, MI
NPI1922124650
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MI  6301012756)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
Mr. GLENN L DERRICK M.A., L.L.P.
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7703
Mailing Address
Mr. GLENN L DERRICK M.A., L.L.P.
142 E OAKRIDGE ST
FERNDALE, MI 48220-1333
Phone number: 248-544-0280
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