Individual
HAILEY NICOLE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 HERITAGE DR STE 520, SOUTHGATE, MI 48195-3051
(734) 215-9800
Mailing address
1 HERITAGE DR STE 520, SOUTHGATE, MI 48195-3051
(734) 215-9800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801114457
MI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/27/2019
Last updated
02/28/2024
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