Individual
MRS. CASSANDRA CLOSSER HENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
261 MACK AVE, DETROIT, MI 48201-2417
(313) 745-9745
Mailing address
881 6TH ST, WYANDOTTE, MI 48192-2936
(734) 283-5803
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000094
MI
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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