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1053941690
PHYLLIS RITA VENTOCILLA
MUSKEGON, MI
NPI
1053941690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801061129)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
PHYLLIS RITA VENTOCILLA LMSW
1050 W WESTERN AVE STE 400
MUSKEGON, MI 49441-1666
Phone number: 231-728-3442
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Mailing Address
PHYLLIS RITA VENTOCILLA LMSW
15686 RIVER SIDE DR
SPRING LAKE, MI 49456-9243
Phone number: 231-728-3442
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