Individual
TAYLOR R PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(313) 316-9483
Mailing address
21730 MOROSS RD, GROSSE POINTE, MI 48236-2112
(313) 316-9483
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802089266
MI
Other
Enumeration date
01/24/2024
Last updated
09/09/2024
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