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1275311441
MICHAEL ALLAN MAIZE
BLOOMSBURG, PA
NPI
1275311441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA sw222127)
Enumeration Date
2023-09-19
Last Update Date
2023-09-19
Business Address
MICHAEL ALLAN MAIZE
160 E 1ST ST
BLOOMSBURG, PA 17815-1404
Phone number: 570-284-7744
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Mailing Address
MICHAEL ALLAN MAIZE
160 E 1ST ST
BLOOMSBURG, PA 17815-1404
Phone number: 570-284-7744
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