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1154698793
VINEESHA RATHNAM
BENTON HARBOR, MI
NPI
1154698793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
-- VINEESHA RATHNAM
1022 E MAIN ST
BENTON HARBOR, MI 49022-3036
Phone number: 269-926-0015
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Mailing Address
-- VINEESHA RATHNAM
3349 PLEASANT ST
BERRIEN SPRINGS, MI 49103-9519
Phone number:
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