Individual
MRS. NORA ADESSA FOX-WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER'S LTD. PSYCHO
Contact information
Practice address
57418 CR. 681, SUITE C, HARTFORD, MI 49057
(269) 621-6251
(269) 621-6044
Mailing address
P.O. BOX 249, 801 HAZEN ST., PAW PAW, MI 49079-0249
(269) 657-5574
(269) 657-6523
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014447
MI
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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