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1205671906
KATILA A DICKERSON
DETROIT, MI
NPI
1205671906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6851118435)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
KATILA A DICKERSON
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-659-8573
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Mailing Address
KATILA A DICKERSON
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-659-8573
Copy
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