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1376100222
SURILLA MARGARET LAWRENCE
BRIGHTON, MI
NPI
1376100222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401016557)
Enumeration Date
2019-05-28
Last Update Date
2019-07-16
Business Address
SURILLA MARGARET LAWRENCE LLPC
5841 WHITMORE LAKE RD
BRIGHTON, MI 48116-2470
Phone number: 810-227-6218
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Mailing Address
SURILLA MARGARET LAWRENCE LLPC
28251 WILDWOOD TRL
FARMINGTON HILLS, MI 48336-2160
Phone number: 248-912-7159
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