Provider Demographics
NPI:1043983315
Name:DUFOUR, PATRICE NOEL (CASE MANAGER)
Entity Type:Individual
Prefix:MS
First Name:PATRICE
Middle Name:NOEL
Last Name:DUFOUR
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1446 W SARATOGA ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-3148
Mailing Address - Country:US
Mailing Address - Phone:313-300-1026
Mailing Address - Fax:248-565-8015
Practice Address - Street 1:1446 W SARATOGA ST
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-3148
Practice Address - Country:US
Practice Address - Phone:313-300-1026
Practice Address - Fax:248-565-8015
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-31
Last Update Date:2021-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator