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1023489770
JESSICA MARIE SHORT-SLACK
FLUSHING, MI
NPI
1023489770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801098796)
Enumeration Date
2015-10-07
Last Update Date
2022-12-12
Business Address
JESSICA MARIE SHORT-SLACK LMSW
5122 PASADENA AVE
FLUSHING, MI 48433-2417
Phone number: 810-429-7359
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Mailing Address
JESSICA MARIE SHORT-SLACK LMSW
PO BOX 672
GRAND BLANC, MI 48480-0672
Phone number: 810-429-7359
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