Individual
MR. ANEMASHAUN O BOMANI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LBSW
Contact information
Practice address
2900 CONNER ST, DETROIT, MI 48215-2407
(313) 824-8000
Mailing address
2900 CONNER ST, DETROIT, MI 48215-2407
(313) 824-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802072924
MI
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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