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1235420134
BETSEY AMBER HOPE KONIECZKI
DETROIT, MI
NPI
1235420134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
BETSEY AMBER HOPE KONIECZKI BSW
16647 WYOMING ST
DETROIT, MI 48221-2848
Phone number: 313-342-3606
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Mailing Address
BETSEY AMBER HOPE KONIECZKI BSW
22939 LAKESHORE DR
SAINT CLAIR SHORES, MI 48080-2716
Phone number: 313-213-4882
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