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1568023901
TATIANA CANYON
CANTON, MI
NPI
1568023901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801104315)
Enumeration Date
2019-06-26
Last Update Date
2019-06-26
Business Address
TATIANA CANYON LLMSW
5880 N CANTON CENTER RD STE 410
CANTON, MI 48187-2686
Phone number: 313-652-2432
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Mailing Address
TATIANA CANYON LLMSW
33147 FRANKLIN ST
WAYNE, MI 48184-1822
Phone number: 586-277-3752
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