ILENE BISHAW

DETROIT, MI
NPI1134662109
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-11-23
Last Update Date2016-11-23
Business Address
-- ILENE BISHAW
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
Mailing Address
-- ILENE BISHAW
3411 S BEATRICE ST
DETROIT, MI 48217-1569
Phone number: 313-693-5756
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