ROGER MIMS

BURTON, MI
NPI1073364964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2024-03-28
Last Update Date2024-03-28
Business Address
ROGER MIMS
2104 BOULDER DR
BURTON, MI 48529-1517
Phone number: 810-662-2220
Mailing Address
ROGER MIMS
2104 BOULDER DR
BURTON, MI 48529-1517
Phone number: 810-662-2220