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1972241487
THAO THI PHAN
SAINT CLAIR SHORES, MI
NPI
1972241487
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Professional Name
CAROLYN PHAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801114403)
Enumeration Date
2022-05-24
Last Update Date
2024-01-22
Business Address
THAO THI PHAN LMSW-C
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 48080-2756
Phone number: 586-335-2006
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Mailing Address
THAO THI PHAN LMSW-C
2146 PEACHTREE CT
WEST BLOOMFIELD, MI 48324-1464
Phone number: 734-218-0922
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