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1891845640
KIRSTEN LISE MACK
LIVONIA, MI
NPI
1891845640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801083383)
Enumeration Date
2007-01-12
Last Update Date
2007-07-08
Business Address
-- KIRSTEN LISE MACK LMSW
18316 MIDDLEBELT RD
LIVONIA, MI 48152-5007
Phone number: 248-615-9730
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Mailing Address
-- KIRSTEN LISE MACK LMSW
18316 MIDDLEBELT RD
LIVONIA, MI 48152-5007
Phone number: 248-615-9730
Copy
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