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1124630538
KATHLEEN MIXEN
LAPEER, MI
NPI
1124630538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-08-18
Last Update Date
2022-02-25
Business Address
KATHLEEN MIXEN
1570 SUNCREST DR
LAPEER, MI 48446-1154
Phone number: 810-667-0500
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Mailing Address
KATHLEEN MIXEN
1570 SUNCREST DR
LAPEER, MI 48446-1154
Phone number: 810-667-0500
Copy
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