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1508221375
SHIRLEY A BOLDEN LIPPETT
DETROIT, MI
NPI
1508221375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-12-22
Last Update Date
2015-12-22
Business Address
Miss SHIRLEY A BOLDEN LIPPETT AS.
2150 E VERNOR HWY APT 413
DETROIT, MI 48207-2744
Phone number: 313-895-0500
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Mailing Address
Miss SHIRLEY A BOLDEN LIPPETT AS.
2150 E VERNOR HWY APT 413
DETROIT, MI 48207-2744
Phone number: 313-895-0500
Copy
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