Individual
TRACY DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18445 FORRER ST, DETROIT, MI 48235-2910
(313) 624-6928
Mailing address
18445 FORRER ST, DETROIT, MI 48235-2910
(313) 624-6928
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
DF820407863
MI
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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