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1558698654
CHARMINE ELLIS
DETROIT, MI
NPI
1558698654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-11-10
Last Update Date
2009-11-10
Business Address
Ms. CHARMINE ELLIS B.S. CACM
16647 WYOMING
DETROIT, MI 48221
Phone number: 313-342-3606
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Mailing Address
Ms. CHARMINE ELLIS B.S. CACM
16647 WYOMING
DETROIT, MI 48221
Phone number: 313-342-3606
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