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1134829500
ANGELA MYRISE MIMS
DETROIT, MI
NPI
1134829500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-03-06
Last Update Date
2023-03-06
Business Address
ANGELA MYRISE MIMS
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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Mailing Address
ANGELA MYRISE MIMS
14801 STANSBURY ST
DETROIT, MI 48227-3249
Phone number: 313-778-2627
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