TAKAKO BENN

DETROIT, MI
NPI1932596731
Former NameTAKAKO OGASAWARA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  FS2398510)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-20
Last Update Date2021-07-02
Business Address
TAKAKO BENN
3901 CHRYSLER SERVICE DR SUITE 5-A, 538.4
DETROIT, MI 48201
Phone number: 313-577-7523
Mailing Address
TAKAKO BENN
251 E MERRILL ST STE 230
BIRMINGHAM, MI 48009-6116
Phone number: 248-949-0484