Individual
CAREN A SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 CHERRYGROVE ST, ECORSE, MI 48229-1710
(313) 676-1912
Mailing address
11 CHERRYGROVE ST, ECORSE, MI 48229-1710
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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