Teresa Carson

NPI #1912379686 in Taylor, Michigan

Provider Information

NPI Number: 1912379686
Entity Type: Individual
Name: Teresa Carson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Oct 21, 2015
Last Updated: Oct 21, 2015

Practice Location

Address: 13079 RACHO SCHOOL DR
City: Taylor
State: Michigan
ZIP Code: 48180-4755
Phone: (313) 576-6999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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