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1396020483
ANNA C. LICAVOLI
SOUTHFIELD, MI
NPI
1396020483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6851093398)
Enumeration Date
2011-10-20
Last Update Date
2024-01-05
Business Address
ANNA C. LICAVOLI LLMSW
24445 NORTHWESTERN HWY STE 200
SOUTHFIELD, MI 48075-2437
Phone number: 248-850-1998
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Mailing Address
ANNA C. LICAVOLI LLMSW
1951 KENMORE DR
GROSSE POINTE WOODS, MI 48236-1931
Phone number: 248-635-3921
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