Individual
SHARMONIQUE RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(313) 918-8789
Mailing address
30000 HIVELEY ST, INKSTER, MI 48141-1089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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