Individual
DWIGHT HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
8726 WOODWARD AVE, DETROIT, MI 48202-2135
(313) 833-2500
Mailing address
8726 WOODWARD AVE, DETROIT, MI 48202-2135
(313) 833-2500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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