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1104110360
ALICE MIXER
ANN ARBOR, MI
NPI
1104110360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 680108803)
Enumeration Date
2011-06-06
Last Update Date
2011-06-06
Business Address
-- ALICE MIXER LMSW
618 MINER ST
ANN ARBOR, MI 48103-3116
Phone number: 734-769-3134
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Mailing Address
-- ALICE MIXER LMSW
618 MINER ST
ANN ARBOR, MI 48103
Phone number: 734-769-3134
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