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1154843514
LOREAL MADDOX
DETROIT, MI
NPI
1154843514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6802089375)
Enumeration Date
2017-07-07
Last Update Date
2022-07-21
Business Address
LOREAL MADDOX LLBSW
2925 RUSSELL
DETROIT, MI 48207
Phone number: 313-348-6025
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Mailing Address
LOREAL MADDOX LLBSW
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-348-6025
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