LAVIETTRIEA TERRELL

DETROIT, MI
NPI1861819955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-03-26
Last Update Date2014-03-26
Business Address
-- LAVIETTRIEA TERRELL
16647 WYOMING ST
DETROIT, MI 48221-2848
Phone number: 313-342-3606
Mailing Address
-- LAVIETTRIEA TERRELL
16647 WYOMING ST
DETROIT, MI 48221-2848
Phone number: 313-342-3606
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