Individual
DALIESHA SANDOUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802087899
MI
1041C0700X
Clinical Social Worker
Primary
6801107624
MI
Other
Enumeration date
12/02/2013
Last updated
01/20/2023
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