Individual
MS. ALICIA D NUCCILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
22291 LEEWRIGHT AVE, SOUTHFIELD, MI 48033-3901
(248) 487-0681
Mailing address
22291 LEEWRIGHT AVE, SOUTHFIELD, MI 48033-3901
(248) 487-0681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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