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Individual

DARCELL RENEE DALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24200 WOODWARD AVE, PLEASANT RIDGE, MI 48069-1142
(313) 255-0900
Mailing address
23237 PROVIDENCE DR APT 211, SOUTHFIELD, MI 48075-3657
(248) 252-7819

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
09/18/2017
Last updated
11/16/2024
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