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1003297821
BRITTANI SHAW
GRAND RAPIDS, MI
NPI
1003297821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401013688)
Enumeration Date
2015-06-17
Last Update Date
2015-06-17
Business Address
-- BRITTANI SHAW
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503-1201
Phone number: 616-818-4803
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Mailing Address
-- BRITTANI SHAW
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503-1201
Phone number: 616-818-4803
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