Starlaschaniece Edison, LLMSW
Social Worker, Clinical in Detroit, MI. Individual provider (NPI-1).
NPI number1982000733
StatusActive
Last updated in NPPESNov 6, 2014
Details
- NPI
- 1982000733
- Entity type
- Individual (NPI-1)
- Name
- Starlaschaniece Edison
- Credential
- LLMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2014
- Last updated
- Nov 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801097421 | MI | Yes |
Practice location
79 W Alexandrine StDetroit, MI 48201-2015
Phone 313-831-5535 · Fax 313-831-2608
Mailing address
79 W Alexandrine StDetroit, MI 48201-2015
Phone 313-831-5535 · Fax 313-831-2608
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