Provider Demographics
NPI:1013480417
Name:HAMPTON-RICE, DJUANA
Entity Type:Individual
Prefix:
First Name:DJUANA
Middle Name:
Last Name:HAMPTON-RICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16099 W 11 MILE RD APT 102
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3679
Mailing Address - Country:US
Mailing Address - Phone:248-525-0883
Mailing Address - Fax:
Practice Address - Street 1:16099 W 11 MILE RD APT 102
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-3679
Practice Address - Country:US
Practice Address - Phone:248-525-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker