Individual
MARSHAE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26300 OUTER DR, LINCOLN PARK, MI 48146-2019
(734) 530-8697
Mailing address
16606 GREENVIEW AVE, DETROIT, MI 48219-4173
(313) 471-8180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401017528
MI
1041C0700X
Clinical Social Worker
6802088621
MI
Other
Enumeration date
03/29/2016
Last updated
01/03/2023
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