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1417567215
ANGELA EDWARD
JACKSON, MI
NPI
1417567215
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Former Name
ANGELA GBEYETIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 680110655)
Enumeration Date
2020-08-06
Last Update Date
2020-08-06
Business Address
ANGELA EDWARD LMSW
413 SEYMOUR AVE
JACKSON, MI 49202-3562
Phone number: 517-748-1553
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Mailing Address
ANGELA EDWARD LMSW
413 SEYMOUR AVE
JACKSON, MI 49202-3562
Phone number: 517-748-1553
Copy
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