Individual
LORRAINE FERTUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
572 S CRANBROOK CROSS RD, BLOOMFIELD, MI 48301-3433
(248) 882-3860
Mailing address
572 S CRANBROOK CROSS RD, BLOOMFIELD, MI 48301-3433
(248) 882-3860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2013
Last updated
10/30/2013
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