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1205509932
PHYLLIS VAUGHAN
DETROIT, MI
NPI
1205509932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851107002)
Enumeration Date
2021-07-28
Last Update Date
2021-07-28
Business Address
PHYLLIS VAUGHAN
20303 KELLY RD
DETROIT, MI 48225-1206
Phone number: 313-506-9786
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Mailing Address
PHYLLIS VAUGHAN
18108 CHEVAL DR
CLINTON TOWNSHIP, MI 48038-1242
Phone number: 313-909-5189
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