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1821552803
LISA MARIE POWELL
TRAVERSE CITY, MI
NPI
1821552803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
LISA MARIE POWELL
1363 DOUGLAS DR STE 104
TRAVERSE CITY, MI 49696-8980
Phone number: 734-377-2115
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Mailing Address
LISA MARIE POWELL
1363 DOUGLAS DR STE 104
TRAVERSE CITY, MI 49696-8980
Phone number: 734-377-2115
Copy
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