ETHAN VAUGHN

DETROIT, MI
NPI1609506864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6851114171)
Enumeration Date2022-06-12
Last Update Date2022-06-12
Business Address
ETHAN VAUGHN
3646 MOUNT ELLIOTT ST
DETROIT, MI 48207-2311
Phone number: 313-331-3435
Mailing Address
ETHAN VAUGHN
2126 LAKEVIEW DR APT 200
YPSILANTI, MI 48198-6729
Phone number:
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