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Individual

MS. DIANA HANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
Mailing address
1200 N. TELEGRAPH, PONTIAC, MI 48341

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3434247
MI
Enumeration date
11/26/2008
Last updated
07/19/2016
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