Individual
MRS. DAWN MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
(734) 397-3088
Mailing address
43825 MICHIGAN AVE, CANTON, MI 48188-2551
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704211915
MI
Other
Enumeration date
08/07/2014
Last updated
09/03/2014
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