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1518196120
KATHLEEN GRANT LARSEN
MANISTEE, MI
NPI
1518196120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801087161)
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
-- KATHLEEN GRANT LARSEN LMSW
395 3RD ST
MANISTEE, MI 49660-1718
Phone number: 877-398-2013
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Mailing Address
-- KATHLEEN GRANT LARSEN LMSW
310 GLOCHESKI DR
MANISTEE, MI 49660-2639
Phone number: 877-398-2013
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