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1245731991
KATHLEEN DURGAN MALLERY
GROSSE POINTE, MI
NPI
1245731991
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Former Name
KATHLEEN D COUNSMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201001667)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
Mrs. KATHLEEN DURGAN MALLERY OTL
468 CADIEUX RD
GROSSE POINTE, MI 48230-1507
Phone number: 313-473-1632
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Mailing Address
Mrs. KATHLEEN DURGAN MALLERY OTL
22925 ROSEDALE ST
SAINT CLAIR SHORES, MI 48080-2490
Phone number: 586-899-6771
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