AMALLIE DEFONSEKA

PONTIAC, MI
NPI1306983119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801086171)
Enumeration Date2007-01-31
Last Update Date2007-07-08
Business Address
-- AMALLIE DEFONSEKA LLMSW
114 ORCHARD LAKE RD
PONTIAC, MI 48341-2244
Phone number: 248-858-7766
Mailing Address
-- AMALLIE DEFONSEKA LLMSW
114 ORCHARD LAKE RD
PONTIAC, MI 48341-2244
Phone number: 248-858-7766
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