Individual
MS. DAWN PATRICIA MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28351 GRATIOT AVE, ROSEVILLE, MI 48066-4252
(313) 978-1854
Mailing address
28351 GRATIOT AVE, ROSEVILLE, MI 48066-4252
(313) 978-1854
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803085111
MI
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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