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Individual

LINDA ELAINE WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 W MCNICHOLS RD, DETROIT, MI 48203-2703
(313) 867-4015
Mailing address
300 W MCNICHOLS RD, DETROIT, MI 48203-2703
(313) 867-4015

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1437236940
MI
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437236940
MI
Enumeration date
08/04/2011
Last updated
08/04/2011
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