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BENZONIA, MI
NPI1548619372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MI  6801098815)
Enumeration Date2016-06-13
Last Update Date2016-06-13
Business Address
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6051 FRANKFORT HWY
BENZONIA, MI 49616-9558
Phone number: 877-398-2013
Mailing Address
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6051 FRANKFORT HWY
BENZONIA, MI 49616-9558
Phone number: 877-398-2013