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1720706336
LESLIE TACKITT
STERLING HEIGHTS, MI
NPI
1720706336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801112426)
Enumeration Date
2022-08-19
Last Update Date
2022-08-27
Business Address
LESLIE TACKITT LMSW
3369 CHERRY CREEK LN
STERLING HEIGHTS, MI 48314-1025
Phone number: 586-329-9200
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Mailing Address
LESLIE TACKITT LMSW
3369 CHERRY CREEK LN
STERLING HEIGHTS, MI 48314-1025
Phone number: 586-329-9200
Copy
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