Individual
MARISHIA MARIE WHITTAKER-BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(248) 470-7407
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(248) 470-7407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6851111336
MI
104100000X
Social Worker
—
—
Other
Enumeration date
09/25/2019
Last updated
09/27/2023
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