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1265880215
SUSAN JO CERVELLERA
PORT HURON, MI
NPI
1265880215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801097583)
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
-- SUSAN JO CERVELLERA M.S.W.
1042 GRISWOLD ST SUITE 2
PORT HURON, MI 48060-5867
Phone number: 810-987-9337
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Mailing Address
-- SUSAN JO CERVELLERA M.S.W.
2780 LEWIS DR
PORT HURON, MI 48060-2531
Phone number: 810-987-9337
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