Individual
TERESA CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13079 RACHO SCHOOL DR, TAYLOR, MI 48180-4755
(313) 576-6999
Mailing address
13079 RACHO SCHOOL DR, TAYLOR, MI 48180-4755
(313) 576-6999
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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