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Individual

LAWRENCE S DABABNEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLMSW

Contact information

Practice address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
(313) 893-0064
Mailing address
62 W 7 MILE RD, DETROIT, MI 48203-1967
(313) 893-6172
(313) 893-0064

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801107453
MI
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3434247
MI
Enumeration date
04/23/2015
Last updated
09/08/2020
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