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1477764660
KIM ANN FATATO
PORTAGE, MI
NPI
1477764660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801087444)
Enumeration Date
2007-05-27
Last Update Date
2019-11-10
Business Address
KIM ANN FATATO LMSW
4539 PINEFIELD AVE
PORTAGE, MI 49024-3021
Phone number: 269-209-2491
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Mailing Address
KIM ANN FATATO LMSW
4539 PINEFIELD AVE
PORTAGE, MI 49024-3021
Phone number: 269-209-2491
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