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1093930141
JENNIFER LYNN IMBAULT
MUSKEGON, MI
NPI
1093930141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401010258)
Enumeration Date
2007-04-16
Last Update Date
2007-07-08
Business Address
Ms. JENNIFER LYNN IMBAULT MA, LLPC
200 HOLTON RD UNIT D
MUSKEGON, MI 49445-3349
Phone number: 231-744-5100
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Mailing Address
Ms. JENNIFER LYNN IMBAULT MA, LLPC
PO BOX 304
WHITEHALL, MI 49461-0304
Phone number: 231-730-4330
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