Individual
MRS. DIANE LYDIA SPINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4446 GOLF VIEW DR, BRIGHTON, MI 48116-9190
(267) 614-5323
Mailing address
4446 GOLF VIEW DR, BRIGHTON, MI 48116-9190
(267) 614-5323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW010446L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007762890001
—
PA
Enumeration date
04/01/2009
Last updated
03/18/2016
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