Provider Information for 1114037082
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Ms. BERNICE DIOP LMSW,LMFT,ACSW, DCSW
Sex: Female
NPI: 1114037082
Last Updated: 2022-12-02
Certification Date: 2022-12-02
Certification Date: 2022-12-02
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1114037082 | ||||||||||||
| Enumeration Date | 2006-08-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | P.O. BOX 531723 LIVONIA, MI 48153-1723 United States Phone: 248-916-5270 | Fax: | ||||||||||||
| Primary Practice Address | 39555 ORCHARD HILL PLACE SUITE 600 NOVI, MI 48375-5374 United States Phone: 248-916-5270 | Fax: | ||||||||||||
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