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1013300557
LENIN THOMAS
GRAND RAPIDS, MI
NPI
1013300557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801086866)
Enumeration Date
2015-03-09
Last Update Date
2015-03-09
Business Address
-- LENIN THOMAS
790 FULLER NE
GRAND RAPIDS, MI 49503
Phone number: 616-304-7768
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Mailing Address
-- LENIN THOMAS
21540 PROVINCIAL BLVD APT- 2518
KATY, TX 77450
Phone number: 616-304-7768
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