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1962875138
AMANDA BLACKWELL
DETROIT, MI
NPI
1962875138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802088756)
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
-- AMANDA BLACKWELL LLBSW
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-396-5300
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Mailing Address
-- AMANDA BLACKWELL LLBSW
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-396-5300
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