Provider Demographics
NPI:1023474673
Name:DURAN, MARITZA
Entity type:Individual
Prefix:
First Name:MARITZA
Middle Name:
Last Name:DURAN
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 1:3573 PHEASANT RUN CIR APT 6
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-2461
Mailing Address - Country:US
Mailing Address - Phone:661-778-8263
Mailing Address - Fax:
Practice Address - Street 1:3573 PHEASANT RUN CIR APT 6
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-2461
Practice Address - Country:US
Practice Address - Phone:661-778-8263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical