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1710159108
CARLIS WORTHY
FLINT, MI
NPI
1710159108
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Professional Name
CARLIS HARRIS LOGAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-26
Last Update Date
2008-03-26
Business Address
-- CARLIS WORTHY
6272 W COURT ST
FLINT, MI 48532-5333
Phone number: 810-287-1009
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Mailing Address
-- CARLIS WORTHY
6272 W COURT ST
FLINT, MI 48532-5333
Phone number: 810-287-1009
Copy
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