Provider Demographics
NPI:1477901601
Name:CURENTON, MAVIS (MSW)
Entity Type:Individual
Prefix:MS
First Name:MAVIS
Middle Name:
Last Name:CURENTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18488 SANTA ROSA DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2245
Mailing Address - Country:US
Mailing Address - Phone:313-585-1520
Mailing Address - Fax:
Practice Address - Street 1:18488 SANTA ROSA DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2245
Practice Address - Country:US
Practice Address - Phone:313-585-1520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other