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1447502943
THOMAS JAMES ANTISHIN
OXFORD, MI
NPI
1447502943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801093477)
Enumeration Date
2012-10-08
Last Update Date
2013-03-25
Business Address
Mr. THOMAS JAMES ANTISHIN LLMSW
1450 S LAPEER RD
OXFORD, MI 48371-6108
Phone number: 248-969-9932
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Mailing Address
Mr. THOMAS JAMES ANTISHIN LLMSW
39713 GENEVIEVE DR
STERLING HEIGHTS, MI 48313-5140
Phone number:
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