Tara Sivan Guy

NPI 1215363726 - Counselor - 101YP2500X

NPI Details
NPI 1215363726
Gender Female
Enumeration Date 09/17/2013
Last Updated 09/17/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
14799 DIX TOLEDO RD
SOUTHGATE MI, 48195-2507, US
Phone (734) 324-8326
Fax
Business Location
8167 HOUSE ST
DETROIT MI, 48234-3343, US
Phone (313) 401-8740
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Michigan
License Number 6401013877
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According to our database, Ms. Tara Sivan Guy NPI is 1215363726, taxonomy code is 101YP2500X and license number is 6401013877, license state is located at Michigan. Tara Sivan Guy physically located at 14799 Dix Toledo Rd, Southgate MI, 48195-2507. NPI Number Tara Sivan Guy has the Individual type.

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1215363726 NPI number is provided on an as is basis without warranty of any kind. 1215363726 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Sivan Guy are for informational purposes only.