Individual
CHARLOTTE MARIA ENOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
27991 ROLLCREST RD APT 7, FARMINGTON HILLS, MI 48334-4063
(248) 417-3580
Mailing address
27991 ROLLCREST RD APT 7, FARMINGTON HILLS, MI 48334-4063
(248) 417-3580
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
48313
NY
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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