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1396568481
NIESHA NICOLE MACK
DETROIT, MI
NPI
1396568481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6803089004)
Enumeration Date
2024-11-06
Last Update Date
2024-11-06
Business Address
NIESHA NICOLE MACK
6309 MACK AVE
DETROIT, MI 48207-2302
Phone number: 888-813-8326
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Mailing Address
NIESHA NICOLE MACK
29000 LANCASTER ST APT 83
LIVONIA, MI 48154-3842
Phone number: 803-577-5082
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