Provider Demographics
NPI:1871215681
Name:WASHINGTON, CONTANCE (N/A)
Entity type:Individual
Prefix:MRS
First Name:CONTANCE
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31846 N MARKLAWN ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2856
Mailing Address - Country:US
Mailing Address - Phone:248-563-2598
Mailing Address - Fax:
Practice Address - Street 1:31846 N MARKLAWN ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2856
Practice Address - Country:US
Practice Address - Phone:248-563-2598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management