NPI: 1487279410
Provider Name: WENDY DITTRICH CROLL, MA, LPC, LLC
Former Legal Business Name: WENDY DITTRICH CROLL, MA, LPC, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization
Specialization: Multi-Specialty
Address:
28475 GREENFIELD RD STE 113
SOUTHFIELD, MI
ZIP 48076
Phone: (810) 360-7337
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WENDY DITTRICH CROLL, MA, LPC, LLC is a multi-specialty clinic center in Southfield, MI. WENDY DITTRICH CROLL, MA, LPC, LLC NPI is 1487279410. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Wendy Dittrich Croll, Ma, Lpc, Llc.
The provider's business location address is:
28475 GREENFIELD RD STE 113
SOUTHFIELD, MI
ZIP 48076-034
Phone: (810) 360-7337
The provider's authorized official is Wendy Dittrich Croll .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (810) 360-7337.
The enumeration date for this NPI number is 6/16/2020 and was last updated on 10/26/2023.