Individual
MS. CUKEYRA BLACKSHEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1131 W CANFIELD ST, DETROIT, MI 48201-1105
(313) 258-5415
Mailing address
1131 W CANFIELD ST, DETROIT, MI 48201-1105
(313) 258-5415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801098620
MI
251B00000X
Case Management Agency
6802087949
MI
Other
Enumeration date
01/27/2014
Last updated
08/13/2020
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