BLAKE MICO

CLINTON TOWNSHIP, MI
NPI1932561065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MI  6401015338)
Enumeration Date2016-03-28
Last Update Date2021-05-25
Business Address
BLAKE MICO LPC
16645 15 MILE RD STE B
CLINTON TOWNSHIP, MI 48035-2206
Phone number: 586-213-5505
Mailing Address
BLAKE MICO LPC
16645 15 MILE RD STE B
CLINTON TOWNSHIP, MI 48035-2206
Phone number: 586-213-5505
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