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Individual

PORSCHE CARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15700 W 10 MILE RD STE 212-1012, SOUTHFIELD, MI 48075-2149
(248) 762-6375
Mailing address
15700 W 10 MILE RD STE 212-1012, SOUTHFIELD, MI 48075-2149
(248) 762-6375

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
MI

Other

Enumeration date
09/27/2024
Last updated
05/11/2026
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