Individual
DAMONE DENISE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2081 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 895-0500
(313) 895-9503
Mailing address
2081 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 895-0500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA0820123
SUBSTANCE USE DISORDER
MI
Enumeration date
05/20/2026
Last updated
05/20/2026
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