Individual
FELICIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 875-7601
Mailing address
8329 ROSELAWN ST, DETROIT, MI 48204-5507
(313) 932-9477
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
247200000X
Other Technician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247200000X
TECHNICIAN
—
Enumeration date
04/02/2016
Last updated
01/03/2024
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