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1821247016
MYCHELE ALISA TENNILLE
DETROIT, MI
NPI
1821247016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801091567)
Enumeration Date
2008-09-12
Last Update Date
2012-10-31
Business Address
Ms. MYCHELE ALISA TENNILLE LMSW
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
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Mailing Address
Ms. MYCHELE ALISA TENNILLE LMSW
79 W ALEXANDRINE ST
DETROIT, MI 48201-2015
Phone number: 313-831-5535
Copy
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