Individual
CANDICE THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
3845 WALNUT ST, INKSTER, MI 48141-2954
(313) 478-7241
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
12/07/2022
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