Individual
MS. ANNETTA MARIA MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 344-9099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802062988
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6802062988
STATE LICENSE NUMBER
MI
Enumeration date
10/03/2006
Last updated
11/10/2021
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