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Individual

MARIAH FEDEWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4902 S CEDAR ST, LANSING, MI 48910-5474
(517) 394-7867
(517) 394-7869
Mailing address
4902 S CEDAR ST, LANSING, MI 48910-5474
(517) 394-7867
(517) 394-7869

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
156F00000X
Technician/Technologist
MI

Other

Enumeration date
08/29/2022
Last updated
09/07/2023
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