Individual
JORDAN CHRISTINE TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18655 AUTUMN LN, SOUTHFIELD, MI 48076-1091
(248) 312-9314
Mailing address
18655 AUTUMN LN, SOUTHFIELD, MI 48076-1091
(248) 312-9314
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
MI
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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