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1205278173
SHAWNA VISKANTAS
WAYNE, MI
NPI
1205278173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801087774)
Enumeration Date
2013-07-22
Last Update Date
2024-07-01
Business Address
Mrs. SHAWNA VISKANTAS
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 248-547-2668
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Mailing Address
Mrs. SHAWNA VISKANTAS
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 248-547-2668
Copy
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