Individual
DAVID TIMOTHY CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
2955 BIDDLE AVE, WYANDOTTE, MI 48192-5231
(313) 402-0894
Mailing address
10106 KATHERINE CT, TAYLOR, MI 48180-3659
(313) 402-0894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012840
MI
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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