Individual
DANA RAQUEL LASENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
3434 RUSSELL ST, SUITE #307, DETROIT, MI 48207-2062
(313) 832-1400
(313) 832-7611
Mailing address
3434 RUSSELL ST, SUITE #307, DETROIT, MI 48207-2062
(313) 832-1400
(313) 832-7611
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008709
MI
Other
Enumeration date
06/03/2010
Last updated
03/09/2011
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