Individual
MS. DANITA LYTRICE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6130 COCHISE DR, WEST BLOOMFIELD, MI 48322-2361
(248) 752-5080
Mailing address
6130 COCHISE DR, WEST BLOOMFIELD, MI 48322-2361
(248) 752-5080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801081918
MI
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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