Individual
MS. CONSTANCE MAE LORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
28218 RED LEAF LN, SOUTHFIELD, MI 48076-2921
(248) 990-2664
Mailing address
28218 RED LEAF LN, SOUTHFIELD, MI 48076-2921
(248) 990-2664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801065675
MI
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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