Individual
JANELL BANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22201 MOROSS RD, SUITE 135, DETROIT, MI 48236-2169
(313) 343-7047
Mailing address
49051 HEATH PLACE CT, CHESTERFIELD, MI 48047-3776
(586) 854-5494
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801093068
MI
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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