Individual
MR. DANIEL GARDNER-MORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207
(313) 921-4700
(313) 921-9247
Mailing address
6309 MACK AVE, DETROIT, MI 48207
(313) 921-4700
(313) 921-9247
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4703113193
MI
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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