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1073154837
RUSSOM RECOVERY THERAPIES LLC
GRAND RAPIDS, MI
NPI
1073154837
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Entity Type
Organization
Authorized Contact
MARY BETH HOUPT
Credentialing
517-676-9797
Organization Subpart ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2019-10-03
Last Update Date
2023-04-06
Business Address
RUSSOM RECOVERY THERAPIES LLC
4519 CASCADE RD SE STE 5
GRAND RAPIDS, MI 49546-8319
Phone number: 616-228-2045
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Mailing Address
RUSSOM RECOVERY THERAPIES LLC
PO BOX 10
MASON, MI 48854-0010
Phone number:
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