Organization
DUETEL BABIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRICILLA BLANCHE PICKENS (OWNER)
(248) 796-2599
Entity
Organization
Contact information
Practice address
25225 GREENFIELD RD, APT 1203, SOUTHFIELD, MI 48075-2150
(248) 796-2599
Mailing address
25225 GREENFIELD RD, APT 1203, SOUTHFIELD, MI 48075-2150
(248) 796-2599
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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