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Individual

MRS. COLENE A. SNOWDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AFC PROVIDER

Contact information

Practice address
18331 TIPSICO LAKE RD, FENTON, MI 48430-8554
(810) 629-0251
(810) 629-0251
Mailing address
18331 TIPSICO LAKE RD, FENTON, MI 48430-8554
(810) 629-0251
(810) 629-0251

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
AF630004934
MI

Other

Enumeration date
05/25/2017
Last updated
05/25/2017
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