Individual
TIYANNA MACNEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13340 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
Mailing address
13340 E WARREN AVE, DETROIT, MI 48215-2112
(313) 822-6940
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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