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1649430653
MARK ANDREW SMALL
SOUTHGATE, MI
NPI
1649430653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801057010)
Enumeration Date
2008-06-12
Last Update Date
2008-06-12
Business Address
Mr. MARK ANDREW SMALL LMSW
19291 NORTHLINE RD
SOUTHGATE, MI 48195-2220
Phone number: 734-287-1500
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Mailing Address
Mr. MARK ANDREW SMALL LMSW
5105 PRENTIS DR
TROY, MI 48085-3483
Phone number: 248-526-2859
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