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Individual

GLYNETTIE DURRAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803082697
MI
1041C0700X
Clinical Social Worker
6803082697A
MI

Other

Enumeration date
03/19/2015
Last updated
03/19/2015
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