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1659088870
ANTASIA MADDOX
YPSILANTI, MI
NPI
1659088870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6851104276)
Enumeration Date
2022-10-28
Last Update Date
2023-09-06
Business Address
ANTASIA MADDOX LLMSW
124 PEARL ST STE 503
YPSILANTI, MI 48197-2663
Phone number: 734-620-1936
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Mailing Address
ANTASIA MADDOX LLMSW
124 PEARL ST STE 503
YPSILANTI, MI 48197-2663
Phone number: 734-620-1935
Copy
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