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Individual

ROSE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 833-2500
(313) 285-2430
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 833-2500

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6803075896
MI
171M00000X
Case Manager/Care Coordinator
Primary
6803075896
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6803075896
CADA PLAN
MI
Enumeration date
02/25/2013
Last updated
03/18/2022
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