Individual
CHELSEA SUMMER FENTRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 756-1342
(734) 467-7636
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 756-1342
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6852092045
MI
171M00000X
Case Manager/Care Coordinator
Primary
6802089266
MI
Other
Enumeration date
06/30/2021
Last updated
08/08/2024
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