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1932687407
THOMAS HARRISON BLACK
DETROIT, MI
NPI
1932687407
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-08-06
Last Update Date
2018-08-06
Business Address
MR. THOMAS HARRISON BLACK
1121 E MCNICHOLS RD
DETROIT, MI 48203-2857
Phone number: 313-365-3113
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Mailing Address
MR. THOMAS HARRISON BLACK
8290 E 10 MILE RD # A-15
CENTER LINE, MI 48015-1412
Phone number: 586-823-1465
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