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1508487489
DEBRA LYNN WINE
PORT HURON, MI
NPI
1508487489
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Former Name
DEBRA LYNN COLLINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801019767)
Enumeration Date
2020-05-01
Last Update Date
2020-05-01
Business Address
MRS. DEBRA LYNN WINE MSW
309 HURON AVE
PORT HURON, MI 48060-3869
Phone number: 810-689-9899
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Mailing Address
MRS. DEBRA LYNN WINE MSW
820 EDISON BLVD
PORT HURON, MI 48060-2116
Phone number: 810-650-6205
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