Individual
MS. NIKKI ELIZABETH BROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19211 ANGLIN ST, DETROIT, MI 48234-1460
(313) 263-0077
Mailing address
3453 COURVILLE ST, DETROIT, MI 48224-2702
(313) 828-7696
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381459371
—
MI
Enumeration date
04/05/2018
Last updated
04/05/2018
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