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1972088003
CORRINA LASHAE EDMONSON
KALAMAZOO, MI
NPI
1972088003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
CORRINA LASHAE EDMONSON
401 HOWARD ST
KALAMAZOO, MI 49001-2748
Phone number: 269-344-4458
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Mailing Address
CORRINA LASHAE EDMONSON
401 HOWARD ST
KALAMAZOO, MI 49001-2748
Phone number: 269-344-4458
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