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1104338763
IVY RENEE HORN
SOUTHFIELD, MI
NPI
1104338763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401001847)
Enumeration Date
2017-11-03
Last Update Date
2020-03-02
Business Address
IVY RENEE HORN
29623 NORTHWESTERN HWY STE 5
SOUTHFIELD, MI 48034-1076
Phone number: 248-514-7254
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Mailing Address
IVY RENEE HORN
21650 W 11 MILE RD STE 107
SOUTHFIELD, MI 48076-3715
Phone number: 248-514-7254
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