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1366884272
MARY ANN CORNELIUSSEN
WYANDOTTE, MI
NPI
1366884272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801088231)
Enumeration Date
2013-07-19
Last Update Date
2017-02-21
Business Address
-- MARY ANN CORNELIUSSEN MSW
2333 BIDDLE AVE
WYANDOTTE, MI 48192-4668
Phone number: 734-246-6000
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Mailing Address
-- MARY ANN CORNELIUSSEN MSW
1640 FORT ST STE D ATTN DENISE
TRENTON, MI 48183-2040
Phone number: 734-391-3057
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