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1649640939
MYRIA GILLESPIE
DETROIT, MI
NPI
1649640939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
-- MYRIA GILLESPIE BSW
15941 FAIRFIELD ST
DETROIT, MI 48238-4123
Phone number: 313-345-4310
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Mailing Address
-- MYRIA GILLESPIE BSW
15941 FAIRFIELD ST
DETROIT, MI 48238-4123
Phone number: 313-345-4310
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