Provider Demographics
NPI:1891301347
Name:COWARD, CIERRA C
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:C
Last Name:COWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20752 CAMDEN SQ APT 205
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-3824
Mailing Address - Country:US
Mailing Address - Phone:269-338-9448
Mailing Address - Fax:
Practice Address - Street 1:20752 CAMDEN SQ APT 205
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-3824
Practice Address - Country:US
Practice Address - Phone:269-338-9448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator