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T'Mando Allen Denson-El Sr.

Peer Specialist in Detroit, MI. Individual provider (NPI-1).

NPI number1053955419
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1053955419
Entity type
Individual (NPI-1)
Name
T'Mando Allen Denson-El Sr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 29, 2019
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1121 E McNichols Rd
Detroit, MI 48203-2857

Phone 313-365-3100 · Fax 313-365-3101

Mailing address

5247 Linsdale St
Detroit, MI 48204-3633

Phone 313-293-1609

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