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1225411911
LYSHAY MCGOWAN
DETROIT, MI
NPI
1225411911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
-- LYSHAY MCGOWAN
1852 W GRAND BLVD
DETROIT, MI 48208-1006
Phone number: 313-894-8444
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Mailing Address
-- LYSHAY MCGOWAN
19441 SORRENTO ST
DETROIT, MI 48235-1235
Phone number: 313-622-7469
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