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Individual

CHRISTINA FLUKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.S.W, C.A.A.D.C

Contact information

Practice address
1300 W FORT ST, DETROIT, MI 48226-3007
(313) 963-3434
(313) 963-1832
Mailing address
1300 W FORT ST, DETROIT, MI 48226-3007
(313) 963-3434
(313) 963-1832

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-02780
MI
104100000X
Social Worker
6801071630
MI
1041C0700X
Clinical Social Worker
Primary
6801071630
MI

Other

Enumeration date
09/11/2014
Last updated
09/11/2014
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