Individual
TARYA JEAN COTTINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
24230 KARIM BLVD STE 100, NOVI, MI 48375-2960
(248) 745-4900
(248) 994-4644
Mailing address
17 DELAWARE ST, PONTIAC, MI 48341-1103
(248) 636-6653
(248) 994-4644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6802076608
MI
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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