Individual
DANIELLA TINA SCACCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 WALTON BLVD STE 60, ROCHESTER HILLS, MI 48309-1729
(248) 608-4514
Mailing address
4703 MANKATO AVE, ROYAL OAK, MI 48073-1668
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451024151
MI
Other
Enumeration date
01/21/2025
Last updated
01/22/2025
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