Individual
MS. THEREASE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
445 LEDYARD ST, DETROIT, MI 48201-2641
(313) 962-9446
Mailing address
445 LEDYARD ST, DETROIT, MI 48201-2641
(313) 962-9446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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