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1710239488
ALLAINA TERICE FAIR
SOUTHGATE, MI
NPI
1710239488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 680285581)
Enumeration Date
2012-10-05
Last Update Date
2012-10-05
Business Address
Mrs. ALLAINA TERICE FAIR LLBSW
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
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Mailing Address
Mrs. ALLAINA TERICE FAIR LLBSW
15645 DUPAGE BLVD
TAYLOR, MI 48180-6025
Phone number: 734-657-6316
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