Individual
DANICA CAMILLE EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 331-3435
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(131) 333-4862
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011069
—
MI
Enumeration date
03/15/2022
Last updated
03/15/2022
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