Individual
MISS TRACIE LEAH BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(616) 301-8000
Mailing address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/23/2020
Last updated
10/04/2021
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