Individual
ANITA COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50430 SCHOOL HOUSE RD, CANTON, MI 48187-5910
(734) 608-1082
Mailing address
50430 SCHOOL HOUSE RD, CANTON, MI 48187-5910
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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