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1235515057
TENORA CLARK
DETROIT, MI
NPI
1235515057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
-- TENORA CLARK
16647 WOMING
DETROIT, MI 48221-2848
Phone number: 313-342-3606
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Mailing Address
-- TENORA CLARK
16647 WOMING
DETROIT, MI 48221-2848
Phone number: 313-342-3606
Copy
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