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1477666006
THELMA YERISEN WEST
PORT HURON, MI
NPI
1477666006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6802080042)
Enumeration Date
2006-08-17
Last Update Date
2024-01-04
Business Address
THELMA YERISEN WEST LMSW
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-966-4447
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Mailing Address
THELMA YERISEN WEST LMSW
3111 MILITARY ST
PORT HURON, MI 48060-6632
Phone number: 810-966-4447
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