Moidunny N Abdutty Sr., lmsw
Social Worker, Clinical in Detroit, MI. Individual provider (NPI-1).
NPI number1619366705
StatusActive
Last updated in NPPESJan 13, 2015
Details
- NPI
- 1619366705
- Entity type
- Individual (NPI-1)
- Name
- Mr. Moidunny N Abdutty Sr.
- Credential
- lmsw
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2015
- Last updated
- Jan 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | l2424092 | MI | Yes |
Practice location
11457 Shoemaker StDetroit, MI 48213-3418
Phone 313-331-3435
Mailing address
11457 Shoemaker StDetroit, MI 48213-3418
Phone 313-331-3435
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