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1376106641
AUTUMN DE SILVA
EAST LANSING, MI
NPI
1376106641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801100447)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
AUTUMN DE SILVA
300 BAILEY ST
EAST LANSING, MI 48823-4444
Phone number: 517-565-4475
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Mailing Address
AUTUMN DE SILVA
2190 AURELIUS RD UNIT 82
HOLT, MI 48842-5503
Phone number: 517-565-4475
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