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1134181241
CHRISTINE CLISSOLD
LANSING, MI
NPI
1134181241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2006-04-04
Last Update Date
2007-07-08
Business Address
-- CHRISTINE CLISSOLD
812 E JOLLY RD
LANSING, MI 48910-6818
Phone number: 517-346-8410
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Mailing Address
-- CHRISTINE CLISSOLD
5303 S CEDAR ST BLDG 2
LANSING, MI 48911-3800
Phone number: 517-346-8410
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