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1275884892
SALLY ANN MIMS
SAGINAW, MI
NPI
1275884892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-09-21
Last Update Date
2012-09-21
Business Address
-- SALLY ANN MIMS BSW
3400 S WASHINGTON RD
SAGINAW, MI 48601-4958
Phone number: 989-755-1072
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Mailing Address
-- SALLY ANN MIMS BSW
3393 HACKETT RD
SAGINAW, MI 48603-9614
Phone number: 989-401-5585
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