Mary E. Fanslow LLMSW
Clinical Social Worker in Commerce Twp, MI(View on Map)
Full Name
Mary E Fanslow LLMSW
NPI Number
1689191918
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/28/2017
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
6801105824
Contact
Information
Purpose
Mailing
Location
Address
42488 CORLINA DR
8906 COMMERCE RD STE 1
City
Northville
Commerce Twp
State
MI
MI
Postal Code
48167-3811
48382-4484
Country
US
US
Telephone Number
(773) 243-6673
(833) 324-9675
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/11/2021
Provider Address
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