Individual
NANCY LOUISE ILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
815 BARRINGTON RD, GROSSE POINTE PARK, MI 48230-1726
(313) 802-3465
Mailing address
815 BARRINGTON RD, GROSSE POINTE PARK, MI 48230-1726
(313) 802-3465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801019662
MI
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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