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1487092854
DANIEL CROCKETT
DETROIT, MI
NPI
1487092854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6801000446)
Enumeration Date
2013-06-07
Last Update Date
2013-06-07
Business Address
DANIEL CROCKETT LMSW
1136 STAFFORD PL
DETROIT, MI 48207-4963
Phone number: 313-567-8565
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Mailing Address
DANIEL CROCKETT LMSW
1136 STAFFORD PL
DETROIT, MI 48207-4963
Phone number: 313-567-8565
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