Individual
JOSHUA SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 POND RIDGE DR, TROY, MI 48085-1351
(248) 302-5612
Mailing address
1155 POND RIDGE DR, TROY, MI 48085-1351
(248) 302-5612
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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