Provider Demographics
NPI:1235337460
Name:DREFFS, DONNA M (MSW, BSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:DREFFS
Suffix:
Gender:F
Credentials:MSW, BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18258 DALBY
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-1730
Mailing Address - Country:US
Mailing Address - Phone:313-531-2027
Mailing Address - Fax:
Practice Address - Street 1:18258 DALBY
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-1730
Practice Address - Country:US
Practice Address - Phone:313-531-2027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801088886104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker