Individual
MS. ADYLENE MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER ROAD, FARMINGTON HILLS, MI 48334
(248) 436-4400
Mailing address
27777 INKSTER ROAD, FARMINGTON HILLS, MI 48334
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
09/03/2014
Last updated
01/14/2019
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