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1972160471
ALICE SANTA
DEARBORN, MI
NPI
1972160471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301015529)
Enumeration Date
2019-05-21
Last Update Date
2019-05-21
Business Address
ALICE SANTA TLLP
835 MASON ST STE B310
DEARBORN, MI 48124-2231
Phone number: 734-756-8885
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Mailing Address
ALICE SANTA TLLP
835 MASON ST STE B310
DEARBORN, MI 48124-2231
Phone number: 734-756-8885
Copy
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