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1669703146
VICKIE MCTAW
DETROIT, MI
NPI
1669703146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2010-01-22
Last Update Date
2022-07-21
Business Address
Ms. VICKIE MCTAW CAC-M
2409 CALVERT ST
DETROIT, MI 48206-1533
Phone number: 313-869-6905
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Mailing Address
Ms. VICKIE MCTAW CAC-M
35390 VAN BORN RD APT 303
WAYNE, MI 48184-3317
Phone number: 734-934-7701
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