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1043412240
LISA MARIE MCILVENNA
MIDLAND, MI
NPI
1043412240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401010105)
Enumeration Date
2007-06-01
Last Update Date
2021-01-18
Business Address
Dr. LISA MARIE MCILVENNA DMin
315 W LARKIN ST
MIDLAND, MI 48640
Phone number: 989-835-7511
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Mailing Address
Dr. LISA MARIE MCILVENNA DMin
5601 HOUGHTEN DR
TROY, MI 48098-2942
Phone number: 248-879-3220
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