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1003413352
KAILE VIDETICH
GRAND RAPIDS, MI
NPI
1003413352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MI 4151001001)
Enumeration Date
2020-10-08
Last Update Date
2020-10-08
Business Address
KAILE VIDETICH LLMFT
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546-8626
Phone number: 616-330-2330
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Mailing Address
KAILE VIDETICH LLMFT
1026 COOPER AVE SE
GRAND RAPIDS, MI 49507-1459
Phone number:
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