Individual
SANDY RITA BETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
(248) 745-4900
Mailing address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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