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1215477906
DIANE LONNERSTATER
WALLED LAKE, MI
NPI
1215477906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801046555)
Enumeration Date
2017-03-01
Last Update Date
2017-03-01
Business Address
-- DIANE LONNERSTATER
1010 E WEST MAPLE RD
WALLED LAKE, MI 48390-3571
Phone number: 248-313-2900
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Mailing Address
-- DIANE LONNERSTATER
1010 E WEST MAPLE RD
WALLED LAKE, MI 48390-3571
Phone number:
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