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1881423259
LYRA SOPHIA SONG
FARMINGTON HILLS, MI
NPI
1881423259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-08-01
Last Update Date
2024-12-23
Business Address
LYRA SOPHIA SONG
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 855-772-8847
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Mailing Address
LYRA SOPHIA SONG
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334-5312
Phone number: 855-772-8847
Copy
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