Individual
MS. DIANE C BLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 937-9500
Mailing address
830 CLEVELAND AVE, LINCOLN PARK, MI 48146-2725
(313) 357-2912
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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