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Individual

KELLEY MARIE MCDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
38594 LAURENWOOD ST, WAYNE, MI 48184-2820
(734) 467-7600
Mailing address
38594 LAURENWOOD ST, WAYNE, MI 48184-2820
(734) 660-6674

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802089366
MI
251B00000X
Case Management Agency
Primary
6802089366
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6802089366
MI
Enumeration date
08/01/2017
Last updated
07/01/2026
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