Individual
MS. MARLENE D EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11061 FLANDERS ST, DETROIT, MI 48205-3704
(313) 471-0909
Mailing address
11061 FLANDERS ST, DETROIT, MI 48205-3704
(313) 471-0909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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