Individual
MS. NANCY L ENTWISTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
46360 GRATIOT AVE, CHESTERFIELD, MI 48051-2800
(586) 948-0224
(586) 948-0213
Mailing address
37733 LADUE ST, CLINTON TOWNSHIP, MI 48036-2922
(586) 465-5918
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6801063954
MI
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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