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1023415072
BLUE WATER SERENITY COUNSELING PLLC
FORT GRATIOT, MI
NPI
1023415072
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Entity Type
Organization
Authorized Contact
ALEXIS JOHNSON
Owner And Sole Proprietor
810-824-4865
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2014-11-19
Last Update Date
2014-12-08
Business Address
BLUE WATER SERENITY COUNSELING PLLC
5429 SHOREWOOD DR
FORT GRATIOT, MI 48059-3138
Phone number: 810-357-1725
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Mailing Address
BLUE WATER SERENITY COUNSELING PLLC
5429 SHOREWOOD DR
FORT GRATIOT, MI 48059-3138
Phone number: 810-357-1725
Copy
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