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Individual

DR. CARRIE ANN-FLING NANTAIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., M.DIV.

Contact information

Practice address
777 LIVERNOIS ST, FERNDALE, MI 48220-2306
(248) 770-6339
Mailing address
5024 AVERY ST, DETROIT, MI 48208-2068
(248) 770-6339

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301017278
MI

Other

Enumeration date
10/25/2017
Last updated
03/17/2018
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