Individual
DAVID JAMES FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
27941 HARPER AVE STE 102, SAINT CLAIR SHORES, MI 48081-1535
(586) 484-5290
Mailing address
30524 MCGRATH DR, WARREN, MI 48093-5611
(586) 484-5290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801071297
MI
1041S0200X
School Social Worker
6301071297
MI
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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