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1003509308
REBECCA JOY BACK
GRAND RAPIDS, MI
NPI
1003509308
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Former Name
REBECCA JOY YOUDELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801116334)
Enumeration Date
2023-06-01
Last Update Date
2023-06-01
Business Address
Mrs. REBECCA JOY BACK LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 269-929-7342
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Mailing Address
Mrs. REBECCA JOY BACK LMSW
2520 POWERS AVE NW
GRAND RAPIDS, MI 49544-1866
Phone number: 269-929-7342
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