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1982398509
BREANNA LYNN BOLO
MARQUETTE, MI
NPI
1982398509
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Former Name
BREANNA LYNN SHAW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6851116557)
Enumeration Date
2023-06-06
Last Update Date
2023-06-06
Business Address
Mrs. BREANNA LYNN BOLO L-LMSW
2353 BADGER STREET. -FUNCTIONAL BEHAVIOR SERVICE 2353 BADGER STREET
MARQUETTE, MI 49855-2303
Phone number: 906-273-1121
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Mailing Address
Mrs. BREANNA LYNN BOLO L-LMSW
2353 BADGER STREET 2353 BADGER STREET
MARQUETTE, MI 49855-2303
Phone number: 906-273-1121
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