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BLAKE MICO, LPC

LPC

Counselor

NPI: 1932561065Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

6401015338(MI)
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Contact & Hours

Address
16645 15 MILE RD STE B
CLINTON TOWNSHIP, MI 48035

Quick Facts

NPI
1932561065
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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