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1255707832
LARRY HATHORNE
SOUTHFIELD, MI
NPI
1255707832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI L749595)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
-- LARRY HATHORNE
2000 TOWN CTR 1900
SOUTHFIELD, MI 48075-1135
Phone number: 313-701-5787
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Mailing Address
-- LARRY HATHORNE
8326 ESPER ST
DETROIT, MI 48204-3122
Phone number: 313-701-5787
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