DANIEL CROCKETT

DETROIT, MI
NPI1487092854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: MI  6801000446)
Enumeration Date2013-06-07
Last Update Date2013-06-07
Business Address
-- DANIEL CROCKETT LMSW
1136 STAFFORD PL
DETROIT, MI 48207-4963
Phone number: 313-567-8565
Mailing Address
-- DANIEL CROCKETT LMSW
1136 STAFFORD PL
DETROIT, MI 48207-4963
Phone number: 313-567-8565