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Organization

STEPHEN BURDEN DBA MARY LEE COMMUNITY HEALTH & TRAINING CENTER

Active
Other names
Mary Lee community Health & Training Center, Mary Lee Community Health
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TONYA MARETTA MOSS DNP, NP-C (CLINICAL DIRECTOR)
(313) 286-3031
Entity
Organization

Contact information

Practice address
25822 W 6 MILE RD, REDFORD, MI 48240-2211
(313) 286-3031
(313) 286-3135
Mailing address
24633 PEMBROOKE DR, SOUTHFIELD, MI 48033-3159
(248) 719-4335

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Enumeration date
11/23/2011
Last updated
02/07/2023
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