BIANCA TIC

CENTER LINE, MI
NPI1740763564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801096747)
Enumeration Date2018-09-07
Last Update Date2018-09-07
Business Address
BIANCA TIC LMSW
26522 VAN DYKE AVE
CENTER LINE, MI 48015-1221
Phone number: 586-759-4400
Mailing Address
BIANCA TIC LMSW
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400
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