Individual
MS. CHANDRA JACQUETTA HALIBURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20303 KELLY RD, DETROIT, MI 48225-1206
(313) 308-1400
Mailing address
20303 KELLY RD, DETROIT, MI 48225-1206
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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