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1174746820
ANN LOUISE DATE
MIDLAND, MI
NPI
1174746820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301009535)
Enumeration Date
2007-04-11
Last Update Date
2021-03-16
Business Address
DR. ANN LOUISE DATE PSY.D.
720 W WACKERLY ST SUITE 4
MIDLAND, MI 48640-2769
Phone number: 989-832-2165
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Mailing Address
DR. ANN LOUISE DATE PSY.D.
PO BOX 2875
MIDLAND, MI 48641-2875
Phone number: 989-832-2165
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