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1174821342
BRENDA MARIE HEISSENBUETTEL
SOUTHGATE, MI
NPI
1174821342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401012165)
Enumeration Date
2011-03-11
Last Update Date
2011-03-11
Business Address
-- BRENDA MARIE HEISSENBUETTEL
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
-- BRENDA MARIE HEISSENBUETTEL
441 BONDIE ST
WYANDOTTE, MI 48192-2614
Phone number: 734-934-4496
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