Individual
CHRISTIE A TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR IN SCIENCE
Contact information
Practice address
2028 LEIF AVE, NORTON SHORES, MI 49441-3650
(616) 456-8010
Mailing address
2028 LEIF AVE, NORTON SHORES, MI 49441
(616) 456-8010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
OTHER
MI
05
—
05
—
MI
Enumeration date
08/04/2017
Last updated
07/21/2022
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