Individual
MS. CELESTE PATRICIA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SST
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
(734) 324-8327
Mailing address
1911 BIG TRAIL RD, COMMERCE TOWNSHIP, MI 48390-2805
(248) 798-5444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6803085416
MI
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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