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1528415619
KELLY MAINVILLE
SOUTHGATE, MI
NPI
1528415619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401014254)
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
-- KELLY MAINVILLE
13305 REECK ROAD
SOUTHGATE, MI 48195-3197
Phone number: 734-225-2090
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Mailing Address
-- KELLY MAINVILLE
6549 TOWN CENTER DR SUITE A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400
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