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Individual

MS. DENISE IHENTUGE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PEER SPECIALIST

Contact information

Practice address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(313) 967-5320
(313) 575-3235
Mailing address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(313) 967-5320
(313) 575-3235

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
175T00000X
MI
175T00000X
Peer Specialist
Primary
MI

Other

Enumeration date
09/24/2016
Last updated
03/31/2023
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