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1982874889
GLORIA COUSINS
WATERFORD, MI
NPI
1982874889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 1-00016)
Enumeration Date
2008-03-06
Last Update Date
2008-03-06
Business Address
Mrs. GLORIA COUSINS
2520 ELIZABETH LAKE RD
WATERFORD, MI 48328-3312
Phone number: 248-706-5041
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Mailing Address
Mrs. GLORIA COUSINS
22900 REMICK DR
CLINTON TOWNSHIP, MI 48036-2732
Phone number: 586-783-4802
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