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1770056095
LARISSA WELD
ALLEGAN, MI
NPI
1770056095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801103102)
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
LARISSA WELD
3283 122ND AVE
ALLEGAN, MI 49010-9511
Phone number: 269-673-6617
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Mailing Address
LARISSA WELD
115 E MAPLE ST
KALAMAZOO, MI 49001-2830
Phone number: 269-568-5572
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