Individual
AUDREY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6576 WOODROW ST, DETROIT, MI 48210
(313) 895-1715
Mailing address
6576 WOODROW ST, DETROIT, MI 48210-1350
(313) 895-1715
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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