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1104562958
TYECHIA NICOLE BAKER
DETROIT, MI
NPI
1104562958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851110383)
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
TYECHIA NICOLE BAKER
18244 W MCNICHOLS RD
DETROIT, MI 48219-4163
Phone number: 313-694-3886
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Mailing Address
TYECHIA NICOLE BAKER
18244 W MCNICHOLS RD
DETROIT, MI 48219-4163
Phone number:
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