MISS Tracie Leah Blevins
NPI #1063038248 in Mount Clemens, Michigan
Provider Information
- NPI Number
- 1063038248
- Entity Type
- Individual
- Name
- MISS Tracie Leah Blevins
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 23, 2020
- Last Updated
- Oct 4, 2021
Practice Location
- Address
- 175 N GROESBECK HWY
- City
- Mount Clemens
- State
- Michigan
- ZIP Code
- 48043-1562
- Phone
- (616) 301-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
| Case Manager/Care Coordinator |
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