Individual
MRS. JANINE MARIE EKDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
21885 DUNHAM RD, SUITE 1, CLINTON TOWNSHIP, MI 48036-1030
(586) 469-7132
(586) 469-6637
Mailing address
35558 CLARKSTON LN, RICHMOND, MI 48062-8900
(586) 260-6874
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802084467
MI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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