Individual
DARRYL ZACHARY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 ORCHARD LAKE RD, PONTIAC, MI 48341-2244
(776) 624-8858
Mailing address
27780 VERMONT ST, SOUTHFIELD, MI 48076-4818
(248) 469-9615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851116568
MI
1041S0200X
School Social Worker
6851116568
MI
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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