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1790461564
LAKISHA R CHURCHWELL
MUSKEGON, MI
NPI
1790461564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
LAKISHA R CHURCHWELL
575 ABBEY ST A
MUSKEGON, MI 49442
Phone number: 231-563-3198
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Mailing Address
LAKISHA R CHURCHWELL
575 ABBEY ST A
MUSKEGON, MI 49442
Phone number: 231-563-3198
Copy
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