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Individual

DEIRDRE ANNE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
17320 W 12 MILE RD, SUITE 101, SOUTHFIELD, MI 48076-2100
(802) 671-5464
Mailing address
815 W MARSHALL ST, FERNDALE, MI 48220-1609
(313) 974-2826

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096429
MI

Other

Enumeration date
03/31/2016
Last updated
10/28/2024
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