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1396914826
TIESHA NICOLE HEMINGWAY
DETROIT, MI
NPI
1396914826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-02-28
Last Update Date
2008-02-28
Business Address
-- TIESHA NICOLE HEMINGWAY FAODP
13336 E WARREN AVE
DETROIT, MI 48215-2112
Phone number: 313-822-6940
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Mailing Address
-- TIESHA NICOLE HEMINGWAY FAODP
12644 WILSHIRE DR
DETROIT, MI 48213-1881
Phone number: 313-409-7152
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