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1104218148
KATHERINE SUSAN MCCLOSKEY
RICHMOND, MI
NPI
1104218148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-02-27
Last Update Date
2015-02-27
Business Address
-- KATHERINE SUSAN MCCLOSKEY 101YA0400X
400 STODDARD RD
RICHMOND, MI 48062-2505
Phone number: 810-392-2167
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Mailing Address
-- KATHERINE SUSAN MCCLOSKEY 101YA0400X
27455 30 MILE RD
LENOX, MI 48050-1510
Phone number: 586-531-0855
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