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1720734015
JESSICA SUE PENHALE
DETROIT, MI
NPI
1720734015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-02-24
Last Update Date
2022-02-24
Business Address
JESSICA SUE PENHALE
707 W MILWAUKEE ST
DETROIT, MI 48202-2943
Phone number: 313-488-4673
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Mailing Address
JESSICA SUE PENHALE
540 THOMPSON ST # 4073
ANN ARBOR, MI 48104-2414
Phone number: 906-236-0962
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