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1366580219
KATIE HARTLEY WAKEMAN
LINCOLN PARK, MI
NPI
1366580219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801085635)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Mrs. KATIE HARTLEY WAKEMAN LMSW
26184 OUTER DR
LINCOLN PARK, MI 48146-2084
Phone number: 313-389-7566
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Mailing Address
Mrs. KATIE HARTLEY WAKEMAN LMSW
8545 LEROY ST
OAK PARK, MI 48237-2303
Phone number: 248-635-9760
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