Individual
MR. CLARENCE BURNETT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(313) 433-2284
(313) 447-1120
Mailing address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(313) 433-2284
(313) 447-1120
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
MI
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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