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Organization
BLOOMFIELD CONSULTING, PLLC
Active
Organization
BLOOMFIELD CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA FADELL PH.D. (LICENSED PSYCHOLOGIST)
(248) 515-7344
Entity
Organization
Contact information
Practice address
300 E LONG LAKE RD, SUITE 130, BLOOMFIELD HILLS, MI 48304-2374
(248) 515-7344
Mailing address
9420 ALLEN RD, CLARKSTON, MI 48348-2729
(248) 515-7344
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6301013520
MI
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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