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1518534478
TERYLLE LAVENDER
KALAMAZOO, MI
NPI
1518534478
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801109672)
Enumeration Date
2021-06-09
Last Update Date
2021-06-09
Business Address
TERYLLE LAVENDER LCSW
4032 TERNWOOD DR APT 3A
KALAMAZOO, MI 49048-6682
Phone number: 269-929-0112
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Mailing Address
TERYLLE LAVENDER LCSW
4032 TERNWOOD DR APT 3A
KALAMAZOO, MI 49048-6682
Phone number:
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