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1912297391
BETHANY BASIRICO
DETROIT, MI
NPI
1912297391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6401010166)
Enumeration Date
2011-04-19
Last Update Date
2011-04-19
Business Address
-- BETHANY BASIRICO M.A., LPC, NCC, SCL
5716 MICHIGAN AVE
DETROIT, MI 48210-3039
Phone number: 313-963-2266
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Mailing Address
-- BETHANY BASIRICO M.A., LPC, NCC, SCL
1902 ROSELAND AVE
ROYAL OAK, MI 48073-3931
Phone number:
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