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1518365097
SHANNAH THELEN
MIDLAND, MI
NPI
1518365097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801095901)
Enumeration Date
2014-12-15
Last Update Date
2014-12-15
Business Address
-- SHANNAH THELEN
218 FAST ICE DR
MIDLAND, MI 48642-6167
Phone number: 989-631-2320
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Mailing Address
-- SHANNAH THELEN
218 FAST ICE DR
MIDLAND, MI 48642-6167
Phone number: 989-631-2320
Copy
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