Individual
DEMETRIUS VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
38271 MOUND RD, STERLING HEIGHTS, MI 48310-3401
(313) 544-3745
Mailing address
28976 FARMINGTON RD, FARMINGTON HILLS, MI 48334-2672
(313) 544-3745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
05/09/2023
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