Individual
EBONY SHANICE MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(248) 993-4608
Mailing address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(248) 993-4608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MI
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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