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1245801521
TAMMY LATICE TERRELL
REDFORD, MI
NPI
1245801521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801110472)
Enumeration Date
2021-07-07
Last Update Date
2021-07-07
Business Address
TAMMY LATICE TERRELL LMSW
9315 TELEGRAPH RD
REDFORD, MI 48239-1260
Phone number: 313-450-4500
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Mailing Address
TAMMY LATICE TERRELL LMSW
9315 TELEGRAPH RD
REDFORD, MI 48239-1260
Phone number: 131-345-0450
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