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1265630586
KATHLEEN J. STAUGAENO
SOUTHGATE, MI
NPI
1265630586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301013278)
Enumeration Date
2007-07-09
Last Update Date
2007-07-09
Business Address
Ms. KATHLEEN J. STAUGAENO MS
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7701
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Mailing Address
Ms. KATHLEEN J. STAUGAENO MS
5388 FOREST RIDGE DR
CLARKSTON, MI 48346-3479
Phone number: 248-620-1168
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