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1790463859
LARISSA SOPHIE MYERS
SOUTHFIELD, MI
NPI
1790463859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
LARISSA SOPHIE MYERS
17320 W 12 MILE RD
SOUTHFIELD, MI 48076-2100
Phone number: 248-727-3456
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Mailing Address
LARISSA SOPHIE MYERS
1707 IVYWOOD DR
ANN ARBOR, MI 48103-4523
Phone number: 832-314-1408
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