Individual
ANN CSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24500 FORD RD STE 10, DEARBORN HEIGHTS, MI 48127-3145
(313) 316-0687
Mailing address
22704 OUTER DR, DEARBORN, MI 48124-4231
(313) 316-0687
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851121851
MI
Other
Enumeration date
08/01/2026
Last updated
08/04/2026
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