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1023660891
LORRAINE BENNETT
GRAND RAPIDS, MI
NPI
1023660891
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Former Name
DUSTY LORRAINE PITTMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401020248)
Enumeration Date
2019-07-11
Last Update Date
2022-01-25
Business Address
LORRAINE BENNETT TLLP, LPC
2180 44TH ST SE STE 301
GRAND RAPIDS, MI 49508-5093
Phone number: 616-259-5112
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Mailing Address
LORRAINE BENNETT TLLP, LPC
6054 IN THE PINES DR SE
GRAND RAPIDS, MI 49548-8503
Phone number: 616-432-0787
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