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1962671735
STEVEN CARL SHANK
CLARKSTON, MI
NPI
1962671735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MI 6801006452)
Enumeration Date
2008-02-26
Last Update Date
2008-02-26
Business Address
STEVEN CARL SHANK LMSW
8062 ORTONVILLE RD
CLARKSTON, MI 48348-4456
Phone number: 248-625-2970
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Mailing Address
STEVEN CARL SHANK LMSW
904 N CONKLIN RD
LAKE ORION, MI 48362-1712
Phone number: 248-693-6375
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