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1053054700
SHANNON MARIE MCMULLIN
GRAND RAPIDS, MI
NPI
1053054700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6852092050)
Enumeration Date
2022-04-19
Last Update Date
2023-11-07
Business Address
SHANNON MARIE MCMULLIN LLMSW
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-323-1102
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Mailing Address
SHANNON MARIE MCMULLIN LLMSW
3026 BYRON CENTER AVE SW APT 1
WYOMING, MI 49519-2456
Phone number: 616-843-7475
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