Individual
MRS. BRENDA MARRON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 245-7000
(313) 245-7009
Mailing address
10159 BEACONSFIELD ST, DETROIT, MI 48224-2536
(313) 245-7000
(313) 245-7009
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802069759
MI
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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