Individual
CASSANDRA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
39239 NOTTINGHAM DR, ROMULUS, MI 48174-6326
(734) 722-3298
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802064442
MI
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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