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1750804035
SHANIQUA GARDNER
DETROIT, MI
NPI
1750804035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 68020889625)
Enumeration Date
2017-07-19
Last Update Date
2017-07-19
Business Address
SHANIQUA GARDNER
2925 RUSSELL
DETROIT, MI 48207
Phone number: 313-396-5300
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Mailing Address
SHANIQUA GARDNER
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number:
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