Individual
MRS. TESSA BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1669 W MAPLE RD, BIRMINGHAM, MI 48009-1230
(248) 646-3347
Mailing address
2887 DORCHESTER RD, BIRMINGHAM, MI 48009-7426
(248) 792-2221
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
03-152
MI
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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