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1851770101
GLENDA LASTER
DETROIT, MI
NPI
1851770101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-05-20
Last Update Date
2015-05-20
Business Address
-- GLENDA LASTER
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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Mailing Address
-- GLENDA LASTER
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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