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1760080543
JOHN PHONG LE
FERNDALE, MI
NPI
1760080543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401017606)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
JOHN PHONG LE MA, SCL, LLPC, NCC
3138 HILTON RD
FERNDALE, MI 48220-1039
Phone number: 248-232-2555
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Mailing Address
JOHN PHONG LE MA, SCL, LLPC, NCC
44548 BAYVIEW AVE APT 26112
CLINTON TOWNSHIP, MI 48038-7358
Phone number: 586-946-1358
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