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1578707964
LIFESPAN CLINICAL SERVICES-LIVONIA CLINIC
LIVONIA, MI
NPI
1578707964
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Entity Type
Organization
Authorized Contact
MARISA F NICELY
Director
248-615-9730
Organization Subpart ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2009-04-29
Last Update Date
2009-04-29
Business Address
LIFESPAN CLINICAL SERVICES-LIVONIA CLINIC
18316 MIDDLEBELT RD
LIVONIA, MI 48152-5007
Phone number: 248-615-9730
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Mailing Address
LIFESPAN CLINICAL SERVICES-LIVONIA CLINIC
18316 MIDDLEBELT RD
LIVONIA, MI 48152-5007
Phone number: 248-615-9730
Copy
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