Individual
SONYA ANNE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRM-DP
Contact information
Practice address
700 E GRAND BLVD, DETROIT, MI 48207-2526
(313) 702-1301
Mailing address
18258 ILENE ST, DETROIT, MI 48221-1924
(734) 883-6176
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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