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1508007758
LISA A TYE
DETROIT, MI
NPI
1508007758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801069425)
Enumeration Date
2009-03-18
Last Update Date
2009-03-18
Business Address
Ms. LISA A TYE LMSW
4801 CHRYSLER DR
DETROIT, MI 48201-1463
Phone number: 313-879-5029
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Mailing Address
Ms. LISA A TYE LMSW
2389 OLD KENT RD W
WARREN, MI 48091-1677
Phone number: 810-335-1461
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