Individual
DOREEN MCCOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58144 GRATIOT AVENUE, NEW HAVEN, MI 48048
(810) 794-4982
(810) 794-4407
Mailing address
58144 GRATIOT AVENUE, P.O. BOX 480430, NEW HAVEN, MI 48048
(810) 794-4982
(810) 794-4407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802061366
MI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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