Individual
FANTA DOUMBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1347 HEATHERCREST DR, FLINT, MI 48532-2670
(313) 208-5501
Mailing address
1347 HEATHERCREST DR, FLINT, MI 48532-2670
(313) 208-5501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801117979
MI
Other
Enumeration date
01/20/2018
Last updated
06/13/2024
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