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1427621598
JAY MICHAEL MADDOCK
KALAMAZOO, MI
NPI
1427621598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401223782)
Enumeration Date
2021-07-19
Last Update Date
2023-10-12
Business Address
JAY MICHAEL MADDOCK MA, LPC
5340 HOLIDAY TER STE 13
KALAMAZOO, MI 49009-2181
Phone number: 269-372-4140
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Mailing Address
JAY MICHAEL MADDOCK MA, LPC
5340 HOLIDAY TER STE 13
KALAMAZOO, MI 49009-2181
Phone number: 269-372-4140
Copy
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