Individual
NICOLE MARIE DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
43900 GARFIELD RD, CLINTON TOWNSHIP, MI 48038-1128
(586) 263-1234
Mailing address
15219 CORNELL DR, CLINTON TOWNSHIP, MI 48038-1094
(586) 604-3845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401011257
MI
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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