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1194013748
CHARMANE ANTOINETTE BUSSIE
DETROIT, MI
NPI
1194013748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 6801091314)
Enumeration Date
2011-07-18
Last Update Date
2011-07-18
Business Address
Ms. CHARMANE ANTOINETTE BUSSIE LLMSW
2081 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-895-0500
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Mailing Address
Ms. CHARMANE ANTOINETTE BUSSIE LLMSW
2081 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-895-0500
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