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1013931872
KELLY JAMES BONEWELL
GRAND RAPIDS, MI
NPI
1013931872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401008653)
Enumeration Date
2006-07-26
Last Update Date
2020-05-11
Business Address
Dr. KELLY JAMES BONEWELL PHD, LPC
977 ADA PLACE DR SE
GRAND RAPIDS, MI 49546-8412
Phone number: 616-460-3341
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Mailing Address
Dr. KELLY JAMES BONEWELL PHD, LPC
3721 DURSUM AVE NE
ADA, MI 49301-9718
Phone number: 616-308-1503
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