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Individual

DENNIELLE MCIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS LPC

Contact information

Practice address
36400 WOODWARD AVE, SUITE 225, BLOOMFIELD HILLS, MI 48304-0911
(248) 878-5060
Mailing address
36400 WOODWARD AVE STE 225, BLOOMFIELD HILLS, MI 48304-0914
(248) 973-7958

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013249
MI
101YM0800X
Mental Health Counselor
6401013249
MI

Other

Enumeration date
05/17/2012
Last updated
10/23/2018
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