Individual
DAZMOND LEE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 433-2599
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 433-2599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851114928
MI
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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