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Individual

THERESA J NOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
13037 CORBETT ST, DETROIT, MI 48213-2073
(313) 969-7737
(313) 969-7737
Mailing address
13037 CORBETT ST # 201, DETROIT, MI 48213-2073
(313) 969-7737
(313) 969-7737

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015856
MI

Other

Enumeration date
03/22/2017
Last updated
03/22/2017
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