Individual
MS. LORNA DENISE CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
481 VIRGINIA CT, CANTON, MI 48187-3973
(734) 777-3914
Mailing address
481 VIRGINIA CT, CANTON, MI 48187-3973
(734) 777-3914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AF820287622
MI
101YM0800X
Mental Health Counselor
AS820283908
MI
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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