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1457864613
TIA LENEE GITGOOD
DETROIT, MI
NPI
1457864613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801100789)
Enumeration Date
2017-11-09
Last Update Date
2017-11-09
Business Address
TIA LENEE GITGOOD LMSW
19445 W WARREN AVE
DETROIT, MI 48228-3361
Phone number: 313-558-9397
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Mailing Address
TIA LENEE GITGOOD LMSW
19445 W WARREN AVE
DETROIT, MI 48228-3361
Phone number:
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