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1265034557
METAXAS SIMON
LIVONIA, MI
NPI
1265034557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401011383)
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
METAXAS SIMON LPC
29550 FIVE MILE RD
LIVONIA, MI 48154-3710
Phone number: 800-395-3223
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Mailing Address
METAXAS SIMON LPC
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 800-395-3223
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