Individual
TEILOR DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 WOODWARD AVE, DETROIT, MI 48202-3165
(313) 896-1444
Mailing address
7310 WOODWARD AVE, DETROIT, MI 48202-3165
(248) 295-3777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401224285
MI
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497760086
—
MI
Enumeration date
02/08/2022
Last updated
07/16/2024
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