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1740056290
THEODORE CHARLES MACKINNON
BATTLE CREEK, MI
NPI
1740056290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6851117533)
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
THEODORE CHARLES MACKINNON
2150 COLUMBIA AVE W
BATTLE CREEK, MI 49015-2848
Phone number: 269-397-2234
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Mailing Address
THEODORE CHARLES MACKINNON
2150 COLUMBIA AVE W
BATTLE CREEK, MI 49015-2848
Phone number: 269-443-4122
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