Provider Information for 1669071585
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CARRAUS HARDEN LPC
Sex: Female
NPI: 1669071585
Last Updated: 2023-08-24
Certification Date: 2023-08-24
Certification Date: 2023-08-24
Details
| Name | Value | ||||||||
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| NPI | 1669071585 | ||||||||
| Enumeration Date | 2020-10-21 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 26555 EVERGREEN RD STE 870 SOUTHFIELD, MI 48076-4239 United States Phone: 248-429-9350 | Fax: | ||||||||
| Primary Practice Address | 13238 N NORFOLK DETROIT, MI 48235-1026 United States Phone: 586-443-3565 | Fax: | ||||||||
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