Individual
QUINN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS,SST
Contact information
Practice address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Mailing address
2939 RUSSELL ST, DETROIT, MI 48207-4825
(313) 396-5300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803086482
MI
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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