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1306237847
EBONY GANT
SOUTHGATE, MI
NPI
1306237847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801097461)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
-- EBONY GANT LLMSW
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
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Mailing Address
-- EBONY GANT LLMSW
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number:
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