Individual
MR. ANTOINE COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6952 SOLOMON AVE, TROY, MI 48085-1289
(443) 682-2718
Mailing address
6952 SOLOMON AVE, TROY, MI 48085-1289
(443) 682-2718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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