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1356543888
LAVERNE DENISE MCGLOTHIAN
DETROIT, MI
NPI
1356543888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children
Enumeration Date
2007-06-05
Last Update Date
2007-07-08
Business Address
-- LAVERNE DENISE MCGLOTHIAN CAC
5555 CONNER ST 2000 NORTH
DETROIT, MI 48213-3448
Phone number: 313-921-8102
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Mailing Address
-- LAVERNE DENISE MCGLOTHIAN CAC
488 FRAZIER ST
RIVER ROUGE, MI 48218-1025
Phone number: 313-415-7222
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