Individual
LATRICE DANIELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 S RIVERSIDE AVE, SAINT CLAIR, MI 48079-5137
(810) 841-0708
Mailing address
1432 S RIVERSIDE AVE, SAINT CLAIR, MI 48079-5137
(810) 841-0708
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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