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1073974978
TARA A BALUCK
NORTHVILLE, MI
NPI
1073974978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301015054)
Enumeration Date
2016-03-19
Last Update Date
2016-03-19
Business Address
Ms. TARA A BALUCK M.S., T.L.L.P
650 GRISWOLD ST
NORTHVILLE, MI 48167-1666
Phone number: 248-912-0080
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Mailing Address
Ms. TARA A BALUCK M.S., T.L.L.P
650 GRISWOLD ST
NORTHVILLE, MI 48167-1666
Phone number: 248-912-0080
Copy
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