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1104193259
TANYA MICHELLE VANDERVEEN
WYOMING, MI
NPI
1104193259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801079417)
Enumeration Date
2011-11-17
Last Update Date
2020-11-06
Business Address
TANYA MICHELLE VANDERVEEN LMSW
6105 WILSON AVE SW STE 202
WYOMING, MI 49418-9714
Phone number: 616-486-5299
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Mailing Address
TANYA MICHELLE VANDERVEEN LMSW
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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