Individual
DANIESHIA LANAE CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4875 COPLIN ST, DETROIT, MI 48215-2192
(313) 822-1135
(313) 822-1157
Mailing address
411 HARPER AVE APT 3, DETROIT, MI 48202-3558
(313) 675-0063
(313) 822-1157
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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