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1619587060
DOMINIQUE LARISSA KERANEN
STANTON, MI
NPI
1619587060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801107565)
Enumeration Date
2020-07-31
Last Update Date
2024-02-21
Business Address
DOMINIQUE LARISSA KERANEN LLMSW
611 N STATE ST
STANTON, MI 48888-9702
Phone number: 989-831-7672
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Mailing Address
DOMINIQUE LARISSA KERANEN LLMSW
611 N STATE ST
STANTON, MI 48888-9702
Phone number: 989-831-7672
Copy
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