AUTUMN DE SILVA

EAST LANSING, MI
NPI1376106641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801100447)
Enumeration Date2019-04-22
Last Update Date2019-04-22
Business Address
AUTUMN DE SILVA
300 BAILEY ST
EAST LANSING, MI 48823-4444
Phone number: 517-565-4475
Mailing Address
AUTUMN DE SILVA
2190 AURELIUS RD UNIT 82
HOLT, MI 48842-5503
Phone number: 517-565-4475