Individual
DESTINY MAHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(313) 883-7264
Mailing address
30779 QUINKERT ST APT 103, ROSEVILLE, MI 48066-1654
(586) 460-6497
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852091287
MI
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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