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1053929893
TARA KANONA
WARREN, MI
NPI
1053929893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801104480)
Enumeration Date
2020-07-17
Last Update Date
2020-07-17
Business Address
TARA KANONA LLMSW
8150 OLD 13 MILE RD
WARREN, MI 48093-8700
Phone number: 586-825-9700
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Mailing Address
TARA KANONA LLMSW
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400
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