Individual
MRS. DEBRA MARIE MINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS,LBSW
Contact information
Practice address
1025 E. FOREST, DETROIT, MI 48357
(734) 968-1430
(313) 237-9216
Mailing address
1025 E FOREST AVE, DETROIT, MI 48207-1024
(734) 968-1430
(313) 237-9216
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802073564
MI
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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