Individual
DEREK LAMONT TOBIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19313 DALE ST, DETROIT, MI 48219-4680
(540) 273-3859
Mailing address
19313 DALE ST, DETROIT, MI 48219-4680
(540) 273-3859
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
MI
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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