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1487909396
JACALYN SUE LASICH
TRAVERSE CITY, MI
NPI
1487909396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801089753)
Enumeration Date
2012-07-17
Last Update Date
2022-07-21
Business Address
-- JACALYN SUE LASICH MSW
217 S MADISON STREET
TRAVERSE CITY, MI 49684-2320
Phone number: 231-392-8400
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Mailing Address
-- JACALYN SUE LASICH MSW
1414 W FAIR AVE STE 332
MARQUETTE, MI 49855-5407
Phone number: 231-935-6080
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