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1508373978
JACQUELINE MARIE CONGER
TRAVERSE CITY, MI
NPI
1508373978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401016298)
Enumeration Date
2018-01-06
Last Update Date
2018-01-06
Business Address
JACQUELINE MARIE CONGER
13561 S WEST BAY SHORE DR STE 204
TRAVERSE CITY, MI 49684-6292
Phone number: 734-536-6116
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Mailing Address
JACQUELINE MARIE CONGER
814 LOCUST ST
TRAVERSE CITY, MI 49684-4019
Phone number: 734-536-6116
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