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1689258139
CARISSA MAE THELEN
TRAVERSE CITY, MI
NPI
1689258139
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Former Name
CARISSA MAE KUCHENBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201013761)
Enumeration Date
2021-05-11
Last Update Date
2024-08-29
Business Address
CARISSA MAE THELEN OTRL
701 W FRONT ST
TRAVERSE CITY, MI 49684-2287
Phone number: 231-935-0800
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Mailing Address
CARISSA MAE THELEN OTRL
10670 E PICO DR
TRAVERSE CITY, MI 49684-5382
Phone number: 906-241-3521
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