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1205223377
SHAWNA L BOOMGAARD
CLARKSTON, MI
NPI
1205223377
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Former Name
SHAWNA L WALKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801086524)
Enumeration Date
2015-04-16
Last Update Date
2015-07-10
Business Address
-- SHAWNA L BOOMGAARD LMSW
3694 CLARKSTON RD STE D
CLARKSTON, MI 48348-5213
Phone number: 248-390-4191
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Mailing Address
-- SHAWNA L BOOMGAARD LMSW
3694 CLARKSTON RD STE D
CLARKSTON, MI 48348-5213
Phone number: 248-390-4191
Copy
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