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1639831993
LITTLE HOUSE ON MACKINAW, LLC
BAY CITY, MI
NPI
1639831993
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Entity Type
Organization
Authorized Contact
DIANE KUKULIS
Sole Member
989-790-2005
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
LITTLE HOUSE ON MACKINAW, LLC
6988 MACKINAW RD
BAY CITY, MI 48706-9332
Phone number: 989-790-2005
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Mailing Address
LITTLE HOUSE ON MACKINAW, LLC
6988 MACKINAW RD
BAY CITY, MI 48706-9332
Phone number: 989-790-2005
Copy
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