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1760533632
CECILIA MAE SKIDMORE
GRAND RAPIDS, MI
NPI
1760533632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401001787)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- CECILIA MAE SKIDMORE M.A., L.P.C.
1514 WEALTHY ST SE SUITE 260
GRAND RAPIDS, MI 49506-2755
Phone number: 616-451-3008
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Mailing Address
-- CECILIA MAE SKIDMORE M.A., L.P.C.
1554 MACKINAW RD SE
GRAND RAPIDS, MI 49506-3349
Phone number: 616-241-2413
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