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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
2024-12-09
Business Address
Mr. MATTHEW MAXIMINO BOUSE LMSW
202 E WASHINGTON ST STE 508
ANN ARBOR, MI 48104-2017
Phone number: 734-999-0013
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Mailing Address
Mr. MATTHEW MAXIMINO BOUSE LMSW
202 E WASHINGTON ST STE 508
ANN ARBOR, MI 48104-2017
Phone number: 734-999-0013
Copy
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