Individual
ANITA H MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 HAMLIN DR, INKSTER, MI 48141-2348
(313) 561-5100
(313) 565-0309
Mailing address
2500 HAMLIN DR, INKSTER, MI 48141-2348
(313) 561-5100
(313) 565-0309
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801065249
MI
Other
Enumeration date
08/12/2009
Last updated
08/19/2009
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