Individual
JOEL COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23764 LYON RIDGE DR, SOUTH LYON, MI 48178-8227
(248) 633-4478
Mailing address
PO BOX 723, NOVI, MI 48376-0723
(248) 633-4478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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