Individual
AVERY TRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 MASON ST STE B310, DEARBORN, MI 48124-2231
(734) 713-9060
Mailing address
PO BOX 2685, DEARBORN, MI 48123-2685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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