Loretta Bantom
Loretta Bantom is a Professional Counselor in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2017.
- Licensed in
- MI
- In the registry since
- 2017
Practice location Address checks out
79 W Alexandrine StDetroit, MI 48201-2015
Phone: (313) 831-5535
Fax: (313) 831-2608
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 6401015420 (MI) |
|---|
Record details
| NPI number | 1013448059 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 22, 2017 |
| Last updated in NPPES | March 22, 2017 |
| Mailing address | 79 W Alexandrine St, Detroit, MI 48201-2015 |
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