Individual
MS. PAULA SANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 961-3784
(313) 961-3769
Mailing address
2051 W GRAND BLVD, DETROIT, MI 48208-1105
(131) 396-1378
(313) 961-3769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6401007097
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401007097
PROFESSIONAL COUNSELOR
MI
Enumeration date
07/19/2007
Last updated
07/19/2007
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