Provider Information for 1700195559
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Ms. DIANE JEAN TROSCH MA, LPC
Sex: Female
NPI: 1700195559
Last Updated: 2016-12-31
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1700195559 | ||||||||||||
| Enumeration Date | 2010-09-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 12 MAPLE DR BELLEVILLE, MI 48111-4217 United States Phone: 734-325-2793 | Fax: | ||||||||||||
| Primary Practice Address | 12 MAPLE DR BELLEVILLE, MI 48111-4217 United States Phone: 734-325-2793 | Fax: | ||||||||||||
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