Individual
CHASITY DANIELLE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17421 TELEGRAPH RD, DETROIT, MI 48219-3165
(313) 531-2500
Mailing address
17421 TELEGRAPH RD, DETROIT, MI 48219-3165
(313) 531-2500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093986
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1883825
—
MI
Enumeration date
03/01/2012
Last updated
07/21/2022
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