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1790991990
SHIRLEY ANN MACK
CLINTON TOWNSHIP, MI
NPI
1790991990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401005017)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Dr. SHIRLEY ANN MACK Ph.D., LPC
15501 METROPOLITAN PKWY SUITE 107
CLINTON TOWNSHIP, MI 48036-1684
Phone number: 586-263-3880
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Mailing Address
Dr. SHIRLEY ANN MACK Ph.D., LPC
20466 FLEETWOOD DR
HARPER WOODS, MI 48225-1624
Phone number: 313-522-1569
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