Individual
AUDREY REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15047 MARK TWAIN ST, DETROIT, MI 48227-2917
(313) 917-4451
Mailing address
15047 MARK TWAIN ST, DETROIT, MI 48227-2917
(313) 917-4451
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
MI
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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