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1023164670
KATIE FENNELL
GRAND RAPIDS, MI
NPI
1023164670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801090673)
Enumeration Date
2007-01-26
Last Update Date
2015-06-22
Business Address
Mrs. KATIE FENNELL LMSW
2340 DEAN LAKE AVE NE
GRAND RAPIDS, MI 49505-4446
Phone number: 616-361-6014
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Mailing Address
Mrs. KATIE FENNELL LMSW
2340 DEAN LAKE AVE NE
GRAND RAPIDS, MI 49505-4446
Phone number: 616-361-6014
Copy
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