Individual
MS. DEIDRA DENEE' MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6451 SCHAEFER RD, DEARBORN, MI 48126-2212
(313) 945-8138
(313) 624-9418
Mailing address
6451 SCHAEFER RD, DEARBORN, MI 48126-2212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087139
MI
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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