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1518231901
LISA MARIE MATHIS
MUSKEGON, MI
NPI
1518231901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801092972)
Enumeration Date
2012-03-02
Last Update Date
2021-12-14
Business Address
LISA MARIE MATHIS LMSW
376 E APPLE AVE
MUSKEGON, MI 49442-3466
Phone number: 231-724-3699
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Mailing Address
LISA MARIE MATHIS LMSW
376 E APPLE AVE
MUSKEGON, MI 49442-3466
Phone number: 231-724-3699
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