Individual
CHRISTINE ELIZABETH FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LLP
Contact information
Practice address
4120 WEST MAPLE ROAD, SUITE 101, BLOOMFIELD TOWNSHIP, MI 48301
(248) 561-7308
(248) 855-4530
Mailing address
4120 WEST MAPLE ROAD, SUITE 101, BLOOMFIELD TOWNSHIP, MI 48301
(248) 561-7308
(248) 855-4530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012916
MI
Other
Enumeration date
05/25/2010
Last updated
10/14/2010
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