Individual
CASSIE MAE CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13973 FARMINGTON RD, LIVONIA, MI 48154-5403
(734) 855-4490
(248) 712-4381
Mailing address
6504 HELEN ST, GARDEN CITY, MI 48135-2207
(734) 293-3022
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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