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1447780812
LATONJA A GIBSON
FARMINGTON HILLS, MI
NPI
1447780812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-18
Last Update Date
2019-08-14
Business Address
LATONJA A GIBSON
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Phone number: 248-436-4400
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Mailing Address
LATONJA A GIBSON
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5326
Phone number:
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