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1437818374
IZAYAH NEWSOM
ADRIAN, MI
NPI
1437818374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
IZAYAH NEWSOM MA
1389 W MAPLE AVE APT C4
ADRIAN, MI 49221-1354
Phone number: 574-855-0009
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Mailing Address
IZAYAH NEWSOM MA
1389 W MAPLE AVE APT C4
ADRIAN, MI 49221-1354
Phone number: 574-855-0009
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