Individual
MS. DEBORAH JO VALLANDINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
11855 N BECK RD, PLYMOUTH, MI 48170-5232
(734) 560-5797
Mailing address
14100 NEWBURGH RD, LIVONIA, MI 48154-5010
(734) 464-2683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
MI
Enumeration date
12/31/2018
Last updated
11/06/2023
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