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1164659249
GREGORY BRUCE LAWRENCE
DETROIT, MI
NPI
1164659249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801089328)
Enumeration Date
2009-06-16
Last Update Date
2009-06-16
Business Address
-- GREGORY BRUCE LAWRENCE
404 E GRAND BLVD
DETROIT, MI 48207-3619
Phone number: 313-478-1537
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Mailing Address
-- GREGORY BRUCE LAWRENCE
PO BOX 40571
REDFORD, MI 48240-0571
Phone number: 313-293-1885
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