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1982955787
ELIZABETH EVANGELISTA
LANSING, MI
NPI
1982955787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801058888)
Enumeration Date
2012-09-20
Last Update Date
2012-09-20
Business Address
-- ELIZABETH EVANGELISTA
812 E JOLLY RD SUITE 216
LANSING, MI 48910-6818
Phone number: 517-346-8103
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Mailing Address
-- ELIZABETH EVANGELISTA
812 E JOLLY RD
LANSING, MI 48910-6818
Phone number: 517-346-8200
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