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1245663111
JAY SEAN FALLON
UTICA, MI
NPI
1245663111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801095931)
Enumeration Date
2013-08-15
Last Update Date
2013-08-15
Business Address
-- JAY SEAN FALLON LLMSW
11111 HALL RD STE 303
UTICA, MI 48317-5726
Phone number: 586-997-3153
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Mailing Address
-- JAY SEAN FALLON LLMSW
30739 NEWPORT DR
WARREN, MI 48088-3163
Phone number: 586-747-1150
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