Individual
AUTUMN LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 NORTHLINE RD BLDG 5, SOUTHGATE, MI 48195-2277
(734) 785-7700
Mailing address
6151 MARVIN ST, TAYLOR, MI 48180-1139
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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