Individual
DR. DALTON KILLIAN CONNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW
Contact information
Practice address
3300 WASHTENAW AVE STE 260, ANN ARBOR, MI 48104-5184
(734) 277-7565
(734) 215-2363
Mailing address
3300 WASHTENAW AVE STE 260, ANN ARBOR, MI 48104-5184
(734) 277-7565
(734) 215-2363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801095252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M17010
—
MI
Enumeration date
04/12/2013
Last updated
07/23/2021
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