Tierra Rene Russaw
Tierra Rene Russaw is a Case Manager/Care Coordinator in Westland, Michigan. Licensed in Michigan. Registered with an NPI since 2020.
- Licensed in
- MI
- In the registry since
- 2020
Practice location Address checks out
29079 Annapolis Rd Ste 510Westland, MI 48186-5104
Phone: (313) 919-0655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence DWP3647 (MI) |
|---|
Record details
| NPI number | 1649882135 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 18, 2020 |
| Last updated in NPPES | August 18, 2020 |
| Certification date | August 18, 2020 |
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