Individual
TIFFANY MOZELL BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3011 W GRAND BLVD, STE 2000, DETROIT, MI 48202-3096
(313) 263-2408
(313) 263-2409
Mailing address
3011 W GRAND BLVD, STE 2000, DETROIT, MI 48202-3096
(313) 263-2408
(313) 263-2409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MI
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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