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Individual

DANIELLE STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
6801097667
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
386004868
MI
Enumeration date
10/15/2015
Last updated
10/28/2022
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