Individual
CARIETTA KENYETTA DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 W 5TH AVE, FLINT, MI 48503-2445
(810) 257-3705
Mailing address
420 W 5TH AVE, FLINT, MI 48503-2445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
10/13/2019
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