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1710129309
DONNA J WAGNER
CLINTON TOWNSHIP, MI
NPI
1710129309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802015806)
Enumeration Date
2009-03-30
Last Update Date
2009-03-30
Business Address
DONNA J WAGNER
16200 19 MILE RD
CLINTON TOWNSHIP, MI 48038-1103
Phone number: 586-263-8998
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Mailing Address
DONNA J WAGNER
16200 19 MILE RD
CLINTON TOWNSHIP, MI 48038-1103
Phone number: 586-263-8998
Copy
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