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1720502883
CARL GLENN HAGSTROM
ANN ARBOR, MI
NPI
1720502883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801071286)
Enumeration Date
2017-07-31
Last Update Date
2017-07-31
Business Address
CARL GLENN HAGSTROM MSW
342 S ASHLEY ST
ANN ARBOR, MI 48104-1351
Phone number: 734-222-5040
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Mailing Address
CARL GLENN HAGSTROM MSW
PO BOX 130223
ANN ARBOR, MI 48113-0223
Phone number: 734-222-5040
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