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1508199589
ELISABETH DAHL
JENISON, MI
NPI
1508199589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: MI 6301015802)
Enumeration Date
2009-09-09
Last Update Date
2019-01-04
Business Address
ELISABETH DAHL PSY.D.
7086 8TH AVE
JENISON, MI 49428-9352
Phone number: 616-667-9551
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Mailing Address
ELISABETH DAHL PSY.D.
2378 WOODLAKE DR STE 280
OKEMOS, MI 48864-6016
Phone number: 517-706-0421
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