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1386114684
ANNE COLLEEN JACK
EAST LANSING, MI
NPI
1386114684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801070186)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
ANNE COLLEEN JACK LMSW
3100 WEST ROAD
EAST LANSING, MI 48823
Phone number: 800-379-1600
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Mailing Address
ANNE COLLEEN JACK LMSW
3100 WEST ROAD
EAST LANSING, MI 48823
Phone number: 800-379-1600
Copy
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