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1124717194
WANDA DENISE COATES FOUNTAIN
CLINTON TOWNSHIP, MI
NPI
1124717194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802073300)
Enumeration Date
2023-05-04
Last Update Date
2023-05-19
Business Address
WANDA DENISE COATES FOUNTAIN
17345 15 MILE RD
CLINTON TOWNSHIP, MI 48035-2301
Phone number: 586-222-2244
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Mailing Address
WANDA DENISE COATES FOUNTAIN
151 LAFAYETTE ST
PONTIAC, MI 48342-2082
Phone number: 586-222-2244
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