Individual
NICOLE FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
1135 RUBY AVE, ROCHESTER HILLS, MI 48309-4347
(248) 568-4834
Mailing address
1135 RUBY AVE, ROCHESTER HILLS, MI 48309-4347
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6361007656
MI
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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