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1740012756
SHANNON LEE WALTZ
ADRIAN, MI
NPI
1740012756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6851115127)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
Ms. SHANNON LEE WALTZ
770 RIVERSIDE AVE STE 14
ADRIAN, MI 49221-1465
Phone number: 517-438-8144
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Mailing Address
Ms. SHANNON LEE WALTZ
1859 HAROLD ST
ADRIAN, MI 49221-4461
Phone number: 517-759-9213
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