Individual
MRS. ANN E MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4402 RED OAK BLVD, WATERFORD, MI 48329-4720
(248) 318-6764
Mailing address
4402 RED OAK BLVD, WATERFORD, MI 48329-4720
(248) 318-6764
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801069905
MI
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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