ANDRE ICE

DETROIT, MI
NPI1609604537
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2024-07-23
Last Update Date2026-03-09
Business Address
ANDRE ICE QMHS
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
Mailing Address
ANDRE ICE QMHS
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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