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1356602452
SHAVONN N BURGESS
SOUTHGATE, MI
NPI
1356602452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MI 6401011031)
Enumeration Date
2012-06-05
Last Update Date
2016-11-07
Business Address
-- SHAVONN N BURGESS M.A., LPC
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
-- SHAVONN N BURGESS M.A., LPC
27056 ABERDEEN ST
SOUTHFIELD, MI 48076-3667
Phone number: 734-785-7704
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