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1821360926
TYRONE CHILDRESS
PONTIAC, MI
NPI
1821360926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401012248)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
Mr. TYRONE CHILDRESS MS/MHC, LLPC
114 ORCHARD LAKE RD
PONTIAC, MI 48341-2244
Phone number: 248-858-7766
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Mailing Address
Mr. TYRONE CHILDRESS MS/MHC, LLPC
4173 11TH ST
ECORSE, MI 48229-1220
Phone number: 313-254-7034
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