Individual
LOURDES CORINNE FONSECA-NEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
215 E BIG BEAVER RD STE 100, TROY, MI 48083-1216
(313) 451-3315
Mailing address
23730 ROWE ST, DEARBORN, MI 48124-1631
(313) 282-1340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023476
MI
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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