Individual
CORRYN SOUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 FIELD ST, DETROIT, MI 48214-2321
(313) 924-7860
Mailing address
14024 COGSWELL ST, ROMULUS, MI 48174-1023
(734) 672-1388
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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