Individual
MS. JOANNE RAGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FOADP
Contact information
Practice address
15805 BAYLIS ST, DETROIT, MI 48238-3915
(313) 341-1088
Mailing address
15805 BAYLIS ST, DETROIT, MI 48238-3915
(313) 365-4745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1411928000
—
MI
Enumeration date
04/09/2008
Last updated
04/09/2008
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