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1437581113
ELIZABETH BALTAZAR
DETROIT, MI
NPI
1437581113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401012989)
Enumeration Date
2013-08-05
Last Update Date
2014-09-19
Business Address
Mrs. ELIZABETH BALTAZAR M.A
20303 KELLY RD
DETROIT, MI 48225-1206
Phone number: 313-400-9613
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Mailing Address
Mrs. ELIZABETH BALTAZAR M.A
532 ROBERT JOHN RD
GROSSE POINTE WOODS, MI 48236-4101
Phone number:
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