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Individual

MR. DEMPSTER K YALLAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Mailing address
929 SHERBOURNE ST, INKSTER, MI 48141-1381
(313) 561-0670

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802073612
1041S0200X
School Social Worker
6802073612
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6802073612
SOCIAL WORKER
MI
Enumeration date
06/22/2007
Last updated
03/24/2022
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