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1295460632
ANGELIQUE GABRIELLE PROM
ANN ARBOR, MI
NPI
1295460632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801110748)
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
Mrs. ANGELIQUE GABRIELLE PROM LMSW- Clinical
2215 FULLER RD
ANN ARBOR, MI 48105-2303
Phone number: 734-769-7100
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Mailing Address
Mrs. ANGELIQUE GABRIELLE PROM LMSW- Clinical
5261 PRAIRIE VW
BRIGHTON, MI 48116-9752
Phone number: 734-915-4001
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