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1255760195
JACKIE SUZANNE SHPAK
OKEMOS, MI
NPI
1255760195
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Former Name
JACKIE SUZANNE OBERDORF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301013869)
Enumeration Date
2013-11-01
Last Update Date
2024-01-19
Business Address
Mrs. JACKIE SUZANNE SHPAK
2149 JOLLY RD STE 500
OKEMOS, MI 48864
Phone number: 517-347-4645
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Mailing Address
Mrs. JACKIE SUZANNE SHPAK
2149 JOLLY RD STE 500
OKEMOS, MI 48864
Phone number: 517-347-4645
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