Most Relevant Information
Provider Data
| NPI Number: | 1003437104 |
| Provider Name: | DEANNA LYNN CHILDS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2020 |
| Last Updated: | 04/29/2020 |
Provider Practice Location
1225 E BIG BEAVER RD
TROY
MI
480831905
Practice Location Phone/Fax
| Phone: | 2485248801 |
| Fax: |
Provider Mailing Location
1225 E BIG BEAVER RD
TROY
MI
480831905
Provider Mailing Phone/Fax
| Phone: | 2485248801 |
| Fax: |