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1457625246
MICHAEL BOLAN
TAYLOR, MI
NPI
1457625246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801070098)
Enumeration Date
2012-02-27
Last Update Date
2012-03-01
Business Address
-- MICHAEL BOLAN LMSW
21751 ECORSE RD
TAYLOR, MI 48180-1846
Phone number: 313-406-4493
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Mailing Address
-- MICHAEL BOLAN LMSW
21751 ECORSE RD
TAYLOR, MI 48180-1846
Phone number: 313-406-4493
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