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1992718886
CLARENCE LESLIE WARDELL
WESTLAND, MI
NPI
1992718886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 1803540)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Mr. CLARENCE LESLIE WARDELL MS
8623 N WAYNE RD SUITE 310
WESTLAND, MI 48185-1137
Phone number: 734-425-0636
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Mailing Address
Mr. CLARENCE LESLIE WARDELL MS
18959 ELDORADO PL
LATHRUP VILLAGE, MI 48076-4408
Phone number:
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