Eleanor Marie Qualls

NPI #1982899415 in Detroit, Michigan

Provider Information

NPI Number: 1982899415
Entity Type: Organization
Organization Name: Eleanor Marie Qualls
Primary Specialty: Social Worker
Enumeration Date: Sep 7, 2007
Last Updated: May 7, 2008

Practice Location

Address: 20314 FENMORE ST
City: Detroit
State: Michigan
ZIP Code: 48235-2294
Phone: (313) 618-6254

Authorized Official

Name: MR. ELEANOR MARIE QUALLS
Title: CEO/PRESIDENT
Phone: (313) 618-6254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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