Individual
CHARMAINE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 HIVELEY, INKSTER, MI 48141
(734) 728-3400
Mailing address
14241 HUBBELL ST, DETROIT, MI 48227-2863
(313) 400-2342
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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