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Individual

TAMARA LATRICE BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
79 W ALEXANDRINE ST, DETROIT, MI 48201-2015
(313) 831-5535
(313) 831-2608
Mailing address
27085 GRATIOT AVE STE 108, ROSEVILLE, MI 48066-2984
(586) 350-0400

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019427
MI

Other

Enumeration date
09/08/2020
Last updated
06/16/2021
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