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1578054946
SHANE RAY
YPSILANTI, MI
NPI
1578054946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801082954)
Enumeration Date
2018-05-22
Last Update Date
2018-05-22
Business Address
SHANE RAY MSW
555 TOWNER ST
YPSILANTI, MI 48198-5723
Phone number: 734-544-3050
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Mailing Address
SHANE RAY MSW
555 TOWNER ST
YPSILANTI, MI 48198-5723
Phone number: 734-544-3050
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