Individual
TERRANCE MAURICE MARBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1685 BALDWIN AVE, PONTIAC, MI 48340-1242
(248) 303-8113
Mailing address
1685 BALDWIN AVE, PONTIAC, MI 48340-1242
(248) 303-8113
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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