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1336991611
MALAISHA VAN
SAULT SAINTE MARIE, MI
NPI
1336991611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
MALAISHA VAN
2655 ASHMUN ST
SAULT SAINTE MARIE, MI 49783-3711
Phone number: 906-632-2522
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Mailing Address
MALAISHA VAN
97 S 4TH ST
ISHPEMING, MI 49849-2168
Phone number: 906-228-9699
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