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1396013017
MAVIS EMMA BUZZARD
TROY, MI
NPI
1396013017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MI 6401012803)
Enumeration Date
2011-12-08
Last Update Date
2024-05-19
Business Address
MRS. MAVIS EMMA BUZZARD MA, LPC
2609 CROOKS RD
TROY, MI 48084-4714
Phone number: 248-274-6193
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Mailing Address
MRS. MAVIS EMMA BUZZARD MA, LPC
1443 N BYWOOD AVE
CLAWSON, MI 48017-1101
Phone number: 586-354-8858
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