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1518332105
GENEVIEVE DOUGLAS
DETROIT, MI
NPI
1518332105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-08
Last Update Date
2015-12-08
Business Address
-- GENEVIEVE DOUGLAS
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-4924
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Mailing Address
-- GENEVIEVE DOUGLAS
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-4924
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