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1205238730
ANTONIO ELMORE
DETROIT, MI
NPI
1205238730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6802078769)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
-- ANTONIO ELMORE
1600 PORTER ST
DETROIT, MI 48216-1936
Phone number: 313-963-6001
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Mailing Address
-- ANTONIO ELMORE
1600 PORTER ST
DETROIT, MI 48207
Phone number: 313-963-6001
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