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Individual

LINDSAY NICOLE DALACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
3257 BLOOMCREST DR, SHELBY TWP, MI 48316-2993
(248) 515-0909
Mailing address
3257 BLOOMCREST DR, SHELBY TWP, MI 48316-2993

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
57680
MI

Other

Enumeration date
06/25/2010
Last updated
06/25/2010
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