Individual
CLAIRETA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(131) 392-4700
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(131) 392-4700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803085835
MI
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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