Theodis Green Collins MA

NPI 1275758872 - Counselor - 101YA0400X

NPI Details
NPI 1275758872
Gender Male
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
445 LEDYARD ST
DETROIT MI, 48201-2641, US
Phone (313) 962-9446
Fax (313) 962-6395
Business Location
1003 LELAND ST
#405
DETROIT MI, 48207-4707, US
Phone (313) 962-9446
Fax (313) 962-6395
Toxanomy
Taxonomy Code 101YA0400X
License State Michigan
License Number 820152
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According to our database, Mr. Theodis Green Collins MA NPI is 1275758872, taxonomy code is 101YA0400X and license number is 820152, license state is located at Michigan. Theodis Green Collins MA physically located at 445 Ledyard St, Detroit MI, 48201-2641. NPI Number Theodis Green Collins MA has the Individual type.

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1275758872 NPI number is provided on an as is basis without warranty of any kind. 1275758872 is maintained by the National Plan & Provider Enumeration System. The contents of Theodis Green Collins MA are for informational purposes only.