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1376840017
ANYA L MACK
MASSILLON, OH
NPI
1376840017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OH I1500756SUPV)
Enumeration Date
2011-02-15
Last Update Date
2018-05-09
Business Address
ANYA L MACK LISW-S
1660 NAVE RD SE
MASSILLON, OH 44646-9604
Phone number: 330-837-9411
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Mailing Address
ANYA L MACK LISW-S
625 CLEVELAND AVE NW
CANTON, OH 44702-1805
Phone number: 304-550-3743
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