DARCIE ANN DIBASIO

WEST BLOOMFIELD, MI
NPI1922354653
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704249095)
Enumeration Date2012-07-31
Last Update Date2012-07-31
Business Address
Ms. DARCIE ANN DIBASIO
5600 W MAPLE RD STE B204
WEST BLOOMFIELD, MI 48322-3707
Phone number: 586-465-1482
Mailing Address
Ms. DARCIE ANN DIBASIO
18198 MILLAR RD
CLINTON TOWNSHIP, MI 48036-2088
Phone number: 586-465-1482