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1073806733
DIANE VACK
OWOSSO, MI
NPI
1073806733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801093770)
Enumeration Date
2011-05-27
Last Update Date
2016-04-28
Business Address
-- DIANE VACK LMSW
1555 INDUSTRIAL DR
OWOSSO, MI 48867-9775
Phone number: 989-723-6791
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Mailing Address
-- DIANE VACK LMSW
PO BOX 428
OWOSSO, MI 48867-0428
Phone number:
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