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Individual

MS. TRACEY DELONCE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCJ/DPCADC

Contact information

Practice address
626 E GRAND BLVD, DETROIT, MI 48207-3513
(313) 883-5614
Mailing address
17160 GRAVIER ST APT 4B, DETROIT, MI 48224-2265
(313) 883-5614

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/04/2023
Last updated
04/04/2023
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