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1295143584
LAVERN H KIMBROUGH
SOUTHFIELD, MI
NPI
1295143584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301013646)
Enumeration Date
2014-07-30
Last Update Date
2014-07-30
Business Address
-- LAVERN H KIMBROUGH
17105 W 12 MILE RD
SOUTHFIELD, MI 48076-2104
Phone number: 248-557-8390
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Mailing Address
-- LAVERN H KIMBROUGH
17105 W 12 MILE RD
SOUTHFIELD, MI 48076-2104
Phone number: 248-557-8390
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