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1578195137
MATTHEW MAXIMINO BOUSE
ANN ARBOR, MI
NPI
1578195137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801115995)
Enumeration Date
2020-02-11
Last Update Date
2023-04-10
Business Address
MR. MATTHEW MAXIMINO BOUSE LMSW
120 E LIBERTY ST STE 200
ANN ARBOR, MI 48104-2156
Phone number: 734-585-6966
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Mailing Address
MR. MATTHEW MAXIMINO BOUSE LMSW
120 E LIBERTY ST STE 200
ANN ARBOR, MI 48104-2156
Phone number: 734-585-6966
Copy
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