Travae Fox CCHW
Community Health Worker in Southfield, MI(View on Map)
Full Name
Travae Fox CCHW
NPI Number
1801521323
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/19/2022
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
22170 W 9 MILE RD
22170 W 9 MILE RD
City
Southfield
Southfield
State
MI
MI
Postal Code
48033-6007
48033-6007
Country
US
US
Telephone Number
(248) 251-6409
(248) 251-6409
Identifiers
Identifier
F200802001552
Identifier State
MI
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
pcerecords.essmichigan@direct.mihin.net
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
Y
Endpoint Location
Easter Seals - Michigan, Inc.22170 W 9 Mile RdSouthfield, MI480336007US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/04/2022