Individual
DONNA MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11000 W MCNICHOLS RD, #320, DETROIT, MI 48221-2357
(313) 340-4442
Mailing address
11000 W MCNICHOLS RD, #320, DETROIT, MI 48221-2357
(313) 340-4442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4703105131
MI
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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