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1427690742
CHEYANNE KALLIE-AUTUMN SHOTWELL
SAULT SAINTE MARIE, MI
NPI
1427690742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
CHEYANNE KALLIE-AUTUMN SHOTWELL
2655 ASHMUN ST
SAULT SAINTE MARIE, MI 49783-3711
Phone number: 906-632-2522
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Mailing Address
CHEYANNE KALLIE-AUTUMN SHOTWELL
97 S 4TH ST STE C
ISHPEMING, MI 49849-2168
Phone number: 906-228-9699
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