Individual
DALYNNGIA FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
40315 MICHIGAN AVE, CANTON, MI 48188-2908
(313) 363-1696
(734) 544-1084
Mailing address
1258 BERKSHIRE ST, WESTLAND, MI 48186-5369
(734) 882-0858
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023585
MI
101YS0200X
School Counselor
SC0000001155536
MI
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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