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Individual

MS. AQUANETTER TONI LITTLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22900 REMICK DR, CLINTON TWP, MI 48036-2797
(586) 783-4802
(586) 783-4805
Mailing address
3259 TUXEDO ST, DETROIT, MI 48206-1027
(313) 733-8288
(313) 733-8288

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OP19790
MEDICARE
MI
Enumeration date
12/10/2010
Last updated
12/10/2010
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