KIRSTEN LISE MACK

LIVONIA, MI
NPI1891845640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801083383)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
KIRSTEN LISE MACK LMSW
18316 MIDDLEBELT RD
LIVONIA, MI 48152-5007
Phone number: 248-615-9730
Mailing Address
KIRSTEN LISE MACK LMSW
18316 MIDDLEBELT RD
LIVONIA, MI 48152-5007
Phone number: 248-615-9730
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