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1124693239
KELSEY ANNA LANTIS
JACKSON, MI
NPI
1124693239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801109731)
Enumeration Date
2021-05-21
Last Update Date
2021-05-21
Business Address
KELSEY ANNA LANTIS LLMSW
1200 N WEST AVE STE 300
JACKSON, MI 49202-2180
Phone number: 517-789-1234
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Mailing Address
KELSEY ANNA LANTIS LLMSW
1545 MEADOW LN
HILLSDALE, MI 49242-8712
Phone number: 517-610-6723
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