Individual
DANIELLE ELIZABETH GHAMLOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRM,CADC
Contact information
Practice address
21415 GODDARD RD, TAYLOR, MI 48180-4247
(734) 375-6900
Mailing address
23025 WILSON AVE, DEARBORN, MI 48128-1852
(313) 695-2250
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
11/01/2024
Last updated
11/05/2025
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