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1932718939
KATHLEEN MARIE DALLAS
WATERFORD, MI
NPI
1932718939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401018031)
Enumeration Date
2020-07-24
Last Update Date
2020-07-24
Business Address
KATHLEEN MARIE DALLAS LPC
301 S WILLIAMS LAKE RD
WATERFORD, MI 48327-3678
Phone number: 248-736-7301
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Mailing Address
KATHLEEN MARIE DALLAS LPC
301 S WILLIAMS LAKE RD
WATERFORD, MI 48327-3678
Phone number: 248-736-7301
Copy
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