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1053457028
IZABELLA GORIVODSKAYA
FARMINGTON HILLS, MI
NPI
1053457028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6801085997)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mrs. IZABELLA GORIVODSKAYA LLMSW
30500 NORTHWESTERN HWY 316
FARMINGTON HILLS, MI 48334-3178
Phone number: 248-875-3661
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Mailing Address
Mrs. IZABELLA GORIVODSKAYA LLMSW
1494 COMMERCE PINES DR
COMMERCE, MI 48390
Phone number: 248-875-3661
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