Individual
CANDISS LETICE CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 GRATIOT AVE, DETROIT, MI 48207-2493
(313) 962-6740
Mailing address
65 CADILLAC SQ STE 3000, DETROIT, MI 48226-2880
(313) 962-6740
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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