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1821816091
KATELYNN MACK
EAST LANSING, MI
NPI
1821816091
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Former Name
KATELYNN DIEPSTRA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851114022)
Enumeration Date
2024-09-27
Last Update Date
2024-09-27
Business Address
KATELYNN MACK
411 W LAKE LANSING RD STE C125
EAST LANSING, MI 48823-8485
Phone number: 616-617-0446
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Mailing Address
KATELYNN MACK
3118 AVERILL DR
LANSING, MI 48911-1401
Phone number: 616-617-0446
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