Individual
TAWANNA SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1500 ATKINSON ST, DETROIT, MI 48206-2005
(313) 422-3617
Mailing address
1500 ATKINSON ST, DETROIT, MI 48206-2005
(313) 422-3617
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
119342525
MI
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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