Individual
CONSTANCE DURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
19940 CONANT SUITE B, DETROIT, MI 48234
Mailing address
19966 GODDARD ST, DETROIT, MI 48234-1343
(313) 828-7335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801020795
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801020795
LICENSE
MI
Enumeration date
02/06/2018
Last updated
03/07/2018
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