Individual
MRS. ALLAINA TERICE FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
(734) 324-8327
Mailing address
15645 DUPAGE BLVD, TAYLOR, MI 48180-6025
(734) 657-6316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
680285581
MI
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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