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1023714409
JACQUELYN KELLOGG, LLC
GRANDVILLE, MI
NPI
1023714409
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Entity Type
Organization
Authorized Contact
JACQUELYN KAY KELLOGG
Psychologist
616-340-1061
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
JACQUELYN KELLOGG, LLC
6018 CORNERSTONE CT SW
GRANDVILLE, MI 49418
Phone number: 616-340-1061
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Mailing Address
JACQUELYN KELLOGG, LLC
6018 CORNERSTONE CT SW
GRANDVILLE, MI 49418
Phone number: 616-340-1061
Copy
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