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1689175481
DIANE SHERYL BISHOP
JACKSON, MI
NPI
1689175481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: 6401015247)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
DIANE SHERYL BISHOP LLPC
3300 LANSING AVE
JACKSON, MI 49202-1621
Phone number: 517-784-2929
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Mailing Address
DIANE SHERYL BISHOP LLPC
3300 LANSING AVE
JACKSON, MI 49202-1621
Phone number: 517-784-2929
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