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1760811285
JESSICA FORTIER-LICK
EAST LANSING, MI
NPI
1760811285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801084827)
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
JESSICA FORTIER-LICK LMSW
4572 S HAGADORN RD SUITE 1C
EAST LANSING, MI 48823-5385
Phone number: 517-481-2133
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Mailing Address
JESSICA FORTIER-LICK LMSW
4572 S HAGADORN RD SUITE 1C
EAST LANSING, MI 48823-5385
Phone number: 517-481-2133
Copy
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