Individual
COLLEEN A AZURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 E ELLSWORTH RD, ANN ARBOR, MI 48108-2552
(734) 222-3500
(734) 971-2487
Mailing address
555 TOWNER ST, PO BOX 915, YPSILANTI, MI 48198-5752
(734) 555-3000
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6802086541
MI
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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