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1952479438
CHARISSE PORZONDEK
WAYNE, MI
NPI
1952479438
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: 6301007093)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Ms. CHARISSE PORZONDEK Psychologist
35425 W MICHIGAN AVE
WAYNE, MI 48184-1687
Phone number: 877-407-2500
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Mailing Address
Ms. CHARISSE PORZONDEK Psychologist
692 BREAKWATER DR
BELLEVILLE, MI 48111-4471
Phone number:
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