Allaina Terice Fair LLBSW

NPI 1710239488 - Counselor - 101YM0800X

NPI Details
NPI 1710239488
Gender Female
Enumeration Date 10/05/2012
Last Updated 10/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
14799 DIX TOLEDO RD
SOUTHGATE MI, 48195-2507, US
Phone (734) 324-8326
Fax (734) 324-8327
Business Location
15645 DUPAGE BLVD
TAYLOR MI, 48180-6025, US
Phone (734) 657-6316
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Michigan
License Number 680285581
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According to our database, Mrs. Allaina Terice Fair LLBSW NPI is 1710239488, taxonomy code is 101YM0800X and license number is 680285581, license state is located at Michigan. Allaina Terice Fair LLBSW physically located at 14799 Dix Toledo Rd, Southgate MI, 48195-2507. NPI Number Allaina Terice Fair LLBSW has the Individual type.

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1710239488 NPI number is provided on an as is basis without warranty of any kind. 1710239488 is maintained by the National Plan & Provider Enumeration System. The contents of Allaina Terice Fair LLBSW are for informational purposes only.