Individual
MR. DANIEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LBSW, ACC, MS
Contact information
Practice address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 824-8000
Mailing address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 824-8000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801063808
MI
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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