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1205417896
ANDRA MODOCK
WESTLAND, MI
NPI
1205417896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPCC.0018266)
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
ANDRA MODOCK MA, LLPC, NCE
7415 HARRISON ST
WESTLAND, MI 48185-2629
Phone number: 734-578-6019
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Mailing Address
ANDRA MODOCK MA, LLPC, NCE
7415 HARRISON ST
WESTLAND, MI 48185-2629
Phone number: 734-578-6019
Copy
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