Individual
MRS. DAYNA RUTH WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30706 TAMARACK ST, APT 38111, WIXOM, MI 48393-2728
(248) 949-4484
Mailing address
1495 W WEST MAPLE RD APT 123, WALLED LAKE, MI 48390-2907
(248) 949-4484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017217
MI
Other
Enumeration date
10/18/2016
Last updated
06/04/2019
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