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1033819610
MICHAEL JAMES FILLMORE
BENTON HARBOR, MI
NPI
1033819610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2023-03-03
Last Update Date
2023-03-20
Business Address
MICHAEL JAMES FILLMORE
497 WAUKONDA AVE
BENTON HARBOR, MI 49022-3142
Phone number: 269-926-1284
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Mailing Address
MICHAEL JAMES FILLMORE
497 WAUKONDA AVE
BENTON HARBOR, MI 49022-3142
Phone number: 269-926-1284
Copy
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