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1104495159
RAQUEL LATRICE EDWARDS
MOUNT CLEMENS, MI
NPI
1104495159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801107671)
Enumeration Date
2021-06-23
Last Update Date
2021-06-23
Business Address
RAQUEL LATRICE EDWARDS LLMSW, CAADC-DP
2 CROCKER BLVD STE 101
MOUNT CLEMENS, MI 48043-2558
Phone number: 586-468-2266
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Mailing Address
RAQUEL LATRICE EDWARDS LLMSW, CAADC-DP
20812 LITTLESTONE RD APT 2
HARPER WOODS, MI 48225-2332
Phone number: 586-945-7563
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