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1841956224
TAMMY BLACK
DETROIT, MI
NPI
1841956224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6451017246)
Enumeration Date
2021-11-10
Last Update Date
2021-11-26
Business Address
TAMMY BLACK
1641 ALTER RD
DETROIT, MI 48215-3114
Phone number: 313-903-0639
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Mailing Address
TAMMY BLACK
220 MANISTIQUE ST
DETROIT, MI 48215-3114
Phone number: 313-903-0639
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