LENIN THOMAS

GRAND RAPIDS, MI
NPI1013300557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801086866)
Enumeration Date2015-03-09
Last Update Date2015-03-09
Business Address
-- LENIN THOMAS
790 FULLER NE
GRAND RAPIDS, MI 49503
Phone number: 616-304-7768
Mailing Address
-- LENIN THOMAS
21540 PROVINCIAL BLVD APT- 2518
KATY, TX 77450
Phone number: 616-304-7768