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1790499978
LARISSA MANOR
SOUTHFIELD, MI
NPI
1790499978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6451022719)
Enumeration Date
2023-01-11
Last Update Date
2023-01-11
Business Address
LARISSA MANOR LLPC
29623 NORTHWESTERN HWY STE 5
SOUTHFIELD, MI 48034-1076
Phone number: 248-469-9036
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Mailing Address
LARISSA MANOR LLPC
18010 INDIANA ST
DETROIT, MI 48221-2419
Phone number: 512-659-2599
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