Tracy L Boudrie B.S., R.S.S.T.

NPI 1205252129 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1205252129
Gender Female
Enumeration Date 03/17/2014
Last Updated 05/04/2015
Entity Type Individual
Active Over 3 years ago
Practice Location
201 W 7 MILE RD
DETROIT MI, 48203-1951, US
Phone (313) 366-0228
Fax (313) 366-0252
Business Location
201 W 7 MILE RD
DETROIT MI, 48203-1951, US
Phone (313) 366-0228
Fax
Toxanomy
Taxonomy Code 171M00000X
License State Michigan
License Number 6803086484
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According to our database, Ms. Tracy L Boudrie B.S., R.S.S.T. NPI is 1205252129, taxonomy code is 171M00000X and license number is 6803086484, license state is located at Michigan. Tracy L Boudrie B.S., R.S.S.T. physically located at 201 W 7 Mile Rd, Detroit MI, 48203-1951. NPI Number Tracy L Boudrie B.S., R.S.S.T. has the Individual type.

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1205252129 NPI number is provided on an as is basis without warranty of any kind. 1205252129 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy L Boudrie B.S., R.S.S.T. are for informational purposes only.