Individual
LILLIAN PATRICIA HATHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
(313) 396-5353
Mailing address
31145 WELLINGTON DR, APARTMENT 22303, NOVI, MI 48377-4168
(734) 306-6382
(313) 396-5353
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/22/2012
Last updated
09/22/2012
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