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1780182436
LAKEIDRA BRONNER
DETROIT, MI
NPI
1780182436
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801102114)
Enumeration Date
2018-01-29
Last Update Date
2018-01-29
Business Address
LAKEIDRA BRONNER
20303 KELLY RD
DETROIT, MI 48225-1206
Phone number: 313-308-1400
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Mailing Address
LAKEIDRA BRONNER
42287 KINGSLEY DR
CLINTON TOWNSHIP, MI 48038-1674
Phone number: 313-693-5436
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