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1265709786
LISA BAXTER
LUDINGTON, MI
NPI
1265709786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801087795)
Enumeration Date
2011-11-29
Last Update Date
2011-11-29
Business Address
-- LISA BAXTER MSW
920 DIANA ST
LUDINGTON, MI 49431-1987
Phone number: 231-845-6294
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Mailing Address
-- LISA BAXTER MSW
920 DIANA ST
LUDINGTON, MI 49431-1987
Phone number: 231-845-6294
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