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1144350018
LATANYA MATTHEWS
PONTIAC, MI
NPI
1144350018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- LATANYA MATTHEWS
989 UNIVERSITY DR
PONTIAC, MI 48342-1885
Phone number: 248-370-0010
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Mailing Address
-- LATANYA MATTHEWS
1511 CROOKS RD
ROCHESTER HILLS, MI 48309-2939
Phone number:
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