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1487859005
MIKAYLA LINSALATA TANNER
WEST BLOOMFIELD, MI
NPI
1487859005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801077738)
Enumeration Date
2007-06-15
Last Update Date
2018-06-06
Business Address
MIKAYLA LINSALATA TANNER LMSW
6824 W DARTMOOR RD
WEST BLOOMFIELD, MI 48322
Phone number: 248-252-2500
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Mailing Address
MIKAYLA LINSALATA TANNER LMSW
6824 W DARTMOOR RD
WEST BLOOMFIELD, MI 48322-4321
Phone number: 248-252-2500
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