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1689940389
LIESEL S CHIVINGTON
JACKSON, MI
NPI
1689940389
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401008011)
Enumeration Date
2012-03-27
Last Update Date
2012-03-27
Business Address
-- LIESEL S CHIVINGTON LPC
1200 N WEST AVE SUITE 400
JACKSON, MI 49202-2179
Phone number: 517-780-3336
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Mailing Address
-- LIESEL S CHIVINGTON LPC
7066 HUBERT RD APT 1
HUBBARD LAKE, MI 49747-9752
Phone number: 989-727-3834
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