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Individual

TALOUR GARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10203 CARDONI ST, DETROIT, MI 48211-1062
(248) 785-8333
Mailing address
10203 CARDONI ST, DETROIT, MI 48211-1062
(248) 785-8333

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0000000
MI
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000000
MI
Enumeration date
04/19/2021
Last updated
04/19/2021
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