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1356991046
JAHMALL WHITTAKER
SAGINAW, MI
NPI
1356991046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-16
Last Update Date
2019-09-16
Business Address
JAHMALL WHITTAKER BS
3400 S WASHINGTON RD
SAGINAW, MI 48601-4958
Phone number: 989-755-1072
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Mailing Address
JAHMALL WHITTAKER BS
8759 CLINTON MACON RD
CLINTON, MI 49236-9569
Phone number: 989-755-1072
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