Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 6801097068 | MI |
NPI | 1003217340 |
---|---|
Provider Name | Leah Welton |
First Address | Detroit, MI 48201-2015 |
Second Address | Detroit, MI 48201-2015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2014 |
Last Update Date | 05/09/2014 |