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1710206743
PHENELLA THOMPSON
DETROIT, MI
NPI
1710206743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-06-01
Last Update Date
2010-06-01
Business Address
-- PHENELLA THOMPSON
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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Mailing Address
-- PHENELLA THOMPSON
13001 PROMENADE ST
DETROIT, MI 48213-1463
Phone number: 313-704-5781
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