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1053939587
TRACI BREITMEYER
GRAND RAPIDS, MI
NPI
1053939587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6851108440)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-07-10
Last Update Date
2021-08-17
Business Address
TRACI BREITMEYER
2355 KNAPP ST NE
GRAND RAPIDS, MI 49505-4411
Phone number: 616-361-9923
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Mailing Address
TRACI BREITMEYER
2355 KNAPP ST NE
GRAND RAPIDS, MI 49505-4411
Phone number: 616-361-9923
Copy
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