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1942629167
DIANA POOL
DETROIT, MI
NPI
1942629167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
Miss DIANA POOL MA,MS
3737 LAWTON
DETROIT, MI 48208
Phone number: 313-361-6136
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Mailing Address
Miss DIANA POOL MA,MS
9309 PARKWOOD
BELLEVILLE, MI 48111
Phone number: 734-578-2640
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