Individual
MS. TRACY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 NORFOLK TOWNE ST, SOUTHFIELD, MI 48075-3464
(313) 205-6471
Mailing address
5 NORFOLK TOWNE ST, SOUTHFIELD, MI 48075-3464
(313) 205-6471
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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