Individual
BIANCA D HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17601 MARK TWAIN ST, DETROIT, MI 48235-2712
(313) 627-5028
Mailing address
17601 MARK TWAIN ST, DETROIT, MI 48235-2712
(313) 627-5028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851109302
MI
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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