Individual
MRS. CHEYENNE TAYLOR LYNN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
8841 SAN JOSE, REDFORD, MI 48239-2317
(517) 392-8175
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802090443
MI
Other
Enumeration date
09/24/2019
Last updated
10/10/2019
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