Delaware Professional Therapy Pllc
NPI #1124496591 in Hazel Park, Michigan
Provider Information
- NPI Number
- 1124496591
- Entity Type
- Organization
- Organization Name
- Delaware Professional Therapy Pllc
- Primary Specialty
- Social Worker
- Enumeration Date
- Sep 2, 2015
- Last Updated
- Sep 2, 2015
Practice Location
- Address
- 116 W 8 MILE RD STE B
- City
- Hazel Park
- State
- Michigan
- ZIP Code
- 48030-2433
- Phone
- (313) 421-8366
Authorized Official
- Name
- JOHN BOYD KRISEL JR., MSW
- Title
- OWNER
- Phone
- (313) 421-8366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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