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1497147706
JESSICA WIEMERSLAGE
TRAVERSE CITY, MI
NPI
1497147706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801087737)
Enumeration Date
2015-02-23
Last Update Date
2018-08-23
Business Address
JESSICA WIEMERSLAGE
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Phone number: 231-421-6921
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Mailing Address
JESSICA WIEMERSLAGE
3335 S AIRPORT RD W
TRAVERSE CITY, MI 49684-7928
Phone number:
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