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1114994100
DIANA L. MIDGLEY
JACKSON, MI
NPI
1114994100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801070662)
Enumeration Date
2006-03-08
Last Update Date
2015-01-30
Business Address
MS. DIANA L. MIDGLEY L.M.S.W.
569 WILDWOOD AVE
JACKSON, MI 49201-1048
Phone number: 517-768-1700
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Mailing Address
MS. DIANA L. MIDGLEY L.M.S.W.
569 WILDWOOD AVE
JACKSON, MI 49201-1048
Phone number: 517-768-1700
Copy
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