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1053828137
KEVIN EZELL SANDERS
BLOOMFIELD HILLS, MI
NPI
1053828137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401014781)
Enumeration Date
2018-01-10
Last Update Date
2018-01-10
Business Address
KEVIN EZELL SANDERS LLPC
1410 S TELEGRAPH RD
BLOOMFIELD HILLS, MI 48302-0046
Phone number: 248-456-8150
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Mailing Address
KEVIN EZELL SANDERS LLPC
1623 E MADGE AVE
HAZEL PARK, MI 48030-2172
Phone number: 313-424-0101
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