Individual
DELORES HEARST-COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
Mailing address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092429
MI
Other
Enumeration date
07/25/2014
Last updated
02/12/2016
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