Individual
ADRIENNE HARALSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 E OUTER DR, DETROIT, MI 48234-1265
(313) 371-0055
(313) 371-1409
Mailing address
24330 PEMBROKE AVE, DETROIT, MI 48219-1050
(313) 369-8678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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