Individual
GRACE MALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
25639 FORD RD, DEARBORN HEIGHTS, MI 48127-4817
(313) 277-3293
(313) 277-0917
Mailing address
25685 W HILLS DR, DEARBORN HTS, MI 48125-1054
(313) 274-2855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801087595
MI
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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