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1194227348
JENNIFER SUPERSON
TRAVERSE CITY, MI
NPI
1194227348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801100021)
Enumeration Date
2018-03-05
Last Update Date
2018-03-26
Business Address
JENNIFER SUPERSON LMSW
820 W FRONT ST
TRAVERSE CITY, MI 49684-2466
Phone number: 231-715-1710
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Mailing Address
JENNIFER SUPERSON LMSW
9283 S NOVAK RD
CEDAR, MI 49621-9792
Phone number: 231-715-1710
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