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1477979987
LISA JO CIACIUCH
MIDLAND, MI
NPI
1477979987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801095722)
Enumeration Date
2014-03-07
Last Update Date
2017-10-20
Business Address
LISA JO CIACIUCH LMSW
1714 EASTMAN AVENUE
MIDLAND, MI 48640
Phone number: 989-631-5390
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Mailing Address
LISA JO CIACIUCH LMSW
315 W LARKIN ST
MIDLAND, MI 48640-5152
Phone number: 989-835-7511
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