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1083990626
LISSETTE MIRA-AMAYA
KALAMAZOO, MI
NPI
1083990626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801020689)
Enumeration Date
2011-10-27
Last Update Date
2019-12-11
Business Address
Mrs. LISSETTE MIRA-AMAYA LMSW
930 LAKE STREET
KALAMAZOO, MI 49001-3097
Phone number: 269-775-1414
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Mailing Address
Mrs. LISSETTE MIRA-AMAYA LMSW
930 LAKE STREET
KALAMAZOO, MI 49001-3097
Phone number: 269-775-1414
Copy
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