Individual
ANZELEAISE ARIEA THORNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2081 W GRAND BLVD, DETROIT, MI 48208-1105
(313) 895-0500
Mailing address
27602 PARKVIEW BLVD APT 102, WARREN, MI 48092-2984
(313) 948-0158
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102965
MI
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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