Individual
DIANE LYNN FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2245 S STATE ST, SUITE 200, ANN ARBOR, MI 48104-6184
(734) 769-0209
(734) 769-0224
Mailing address
2245 S STATE ST, SUITE 200, ANN ARBOR, MI 48104-6184
(734) 769-0209
(734) 769-0224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801020541
MI
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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