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1164696902
TISH HIGGINBOTHAM
SOUTHGATE, MI
NPI
1164696902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801087991)
Enumeration Date
2008-04-14
Last Update Date
2008-04-14
Business Address
-- TISH HIGGINBOTHAM
15601 NORTHLINE RD
SOUTHGATE, MI 48195-2334
Phone number: 734-785-7700
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Mailing Address
-- TISH HIGGINBOTHAM
20228 FORRER ST
DETROIT, MI 48235-1824
Phone number:
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