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1609140813
TIA DOUGLAS
FLINT, MI
NPI
1609140813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6803085534)
Enumeration Date
2012-03-06
Last Update Date
2012-03-06
Business Address
-- TIA DOUGLAS SST
4400 S SAGINAW ST 1460
FLINT, MI 48507-2645
Phone number: 810-237-0799
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Mailing Address
-- TIA DOUGLAS SST
585 JEWETT RD
MASON, MI 48854-8729
Phone number: 517-676-5405
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