Individual
DEANNA MARIE IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
315 N CENTER ST, NORTHVILLE, MI 48167-1277
(313) 656-4052
(313) 656-4053
Mailing address
2054 WICKHAM ST, ROYAL OAK, MI 48073-1164
(313) 598-2295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801107374
MI
Other
Enumeration date
05/17/2020
Last updated
01/31/2024
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