Individual
LILLIE FAY DENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
6130 COCHISE DR, WEST BLOOMFIELD, MI 48322-2361
(248) 752-5080
(248) 254-1736
Mailing address
6130 COCHISE DR, WEST BLOOMFIELD, MI 48322-2361
(248) 752-5080
(248) 254-1736
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401009403
MI
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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