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1205152519
MARK EDWARD ALLEN
LANSING, MI
NPI
1205152519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801058121)
Enumeration Date
2010-04-12
Last Update Date
2010-04-12
Business Address
-- MARK EDWARD ALLEN LMSW
701 S CREYTS RD
LANSING, MI 48917-8234
Phone number: 517-323-4099
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Mailing Address
-- MARK EDWARD ALLEN LMSW
8722 CAMELLIA ST
LANSING, MI 48917-8804
Phone number: 517-627-6492
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