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1104004712
DAVID ALAN VANDERWAL
KENTWOOD, MI
NPI
1104004712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401005560)
Enumeration Date
2008-02-06
Last Update Date
2008-02-06
Business Address
Mr. DAVID ALAN VANDERWAL MA/LPC
6670 KALAMAZOO AVE SE SUITE D
KENTWOOD, MI 49508-7856
Phone number: 616-565-4159
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Mailing Address
Mr. DAVID ALAN VANDERWAL MA/LPC
207 SUNNYVIEW DR SW
GRANDVILLE, MI 49418-2129
Phone number: 616-457-2277
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