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1649660226
GERALD MICKETTI
TRAVERSE CITY, MI
NPI
1649660226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401012457)
Enumeration Date
2015-02-03
Last Update Date
2015-02-23
Business Address
-- GERALD MICKETTI LLPC
1200 W. 11TH STREET SUITE 111
TRAVERSE CITY, MI 49684-3288
Phone number: 231-499-8290
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Mailing Address
-- GERALD MICKETTI LLPC
1200 W 11TH ST STE 111
TRAVERSE CITY, MI 49684-3288
Phone number: 231-499-8290
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