Most Relevant Information
Provider Data
| NPI Number: | 1003034307 |
| Provider Name: | LAURA DANIELLE FISHMAN LMSW, ACSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 6801077690 |
Most Important Dates
| Enumeration Date: | 04/23/2007 |
| Last Updated: | 09/17/2013 |
Provider Practice Location
74 W LONG LAKE RD
SUITE 100
BLOOMFIELD HILLS
MI
483042769
Practice Location Phone/Fax
| Phone: | 2486860339 |
| Fax: | 2482203322 |
Provider Mailing Location
74 W LONG LAKE RD
SUITE 100
BLOOMFIELD HILLS
MI
483042769
Provider Mailing Phone/Fax
| Phone: | 2486860339 |
| Fax: | 2482203322 |