Individual
ANDREA ANITA DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPPS
Contact information
Practice address
1413 FIELD ST, DETROIT, MI 48214-2321
(313) 347-2070
(313) 921-7978
Mailing address
1413 FIELD ST, DETROIT, MI 48214-2321
(313) 347-2070
(313) 921-7978
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
02/22/2019
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