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1215155650
JEROME DAVID PATRICK SHANAHAN
DETROIT, MI
NPI
1215155650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801069349)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
Mr. JEROME DAVID PATRICK SHANAHAN MSW LMSW
220 BAGLEY ST 1100
DETROIT, MI 48226-1400
Phone number: 313-961-7990
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Mailing Address
Mr. JEROME DAVID PATRICK SHANAHAN MSW LMSW
220 BAGLEY ST 1100
DETROIT, MI 48226-1400
Phone number: 313-961-7990
Copy
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