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1437522596
GREAT LAKES CLINICAL CARE SERVICES LLC
SOUTHFIELD, MI
NPI
1437522596
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Entity Type
Organization
Authorized Contact
CYNTHIA BAXTER
Clinical Supervisor
248-443-5613
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: MI 6801087398)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
GREAT LAKES CLINICAL CARE SERVICES LLC
22350 LUCERNE DR APT 201
SOUTHFIELD, MI 48075-5953
Phone number: 248-443-5613
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Mailing Address
GREAT LAKES CLINICAL CARE SERVICES LLC
22350 LUCERNE DR APT 201
SOUTHFIELD, MI 48075-5953
Phone number: 248-443-5613
Copy
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