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1508275694
TANZELLA EDISON
DETROIT, MI
NPI
1508275694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401012965)
Enumeration Date
2014-08-04
Last Update Date
2021-10-26
Business Address
Ms. TANZELLA EDISON LPC
707 W MILWAUKEE ST
DETROIT, MI 48202-2943
Phone number: 313-407-1578
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Mailing Address
Ms. TANZELLA EDISON LPC
2192 PRINCE HALL DR
DETROIT, MI 48207-5110
Phone number: 313-407-1578
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