Individual
MS. TOMELLA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLBSW
Contact information
Practice address
17137 TEPPERT ST, DETROIT, MI 48234-3841
(313) 485-6676
Mailing address
17137 TEPPERT ST, DETROIT, MI 48234-3841
(313) 485-6676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6802088913
MI
247200000X
Other Technician
—
MI
Other
Enumeration date
06/27/2016
Last updated
02/06/2017
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