Loretta Bantom
NPI #1013448059 in Detroit, Michigan
Provider Information
- NPI Number
- 1013448059
- Entity Type
- Individual
- Name
- Loretta Bantom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 22, 2017
- Last Updated
- Mar 22, 2017
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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