Individual
CHANELLE DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 329-6588
Mailing address
22304 GLENWOOD LN, WOODHAVEN, MI 48183-5236
(734) 329-6588
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802089266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382849658
—
MI
Enumeration date
07/12/2022
Last updated
07/12/2022
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