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1881967909
LASONDRA WAYNE
PORTAGE, MI
NPI
1881967909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: MI 6301015047)
Enumeration Date
2012-02-21
Last Update Date
2012-02-21
Business Address
LASONDRA WAYNE
7320 GARDEN LN SUITE 106
PORTAGE, MI 49002-4423
Phone number: 269-612-4432
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Mailing Address
LASONDRA WAYNE
7320 GARDEN LN SUITE 106
PORTAGE, MI 49002-4423
Phone number: 269-612-4432
Copy
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