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1104286764
SUSAN DEAETTE GRISWOLD
MUSKEGON, MI
NPI
1104286764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802080360)
Enumeration Date
2016-02-25
Last Update Date
2016-02-25
Business Address
Ms. SUSAN DEAETTE GRISWOLD LBSW, QIDP
376 E APPLE AVE
MUSKEGON, MI 49442-3466
Phone number: 231-724-1331
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Mailing Address
Ms. SUSAN DEAETTE GRISWOLD LBSW, QIDP
376 E APPLE AVE
MUSKEGON, MI 49442-3466
Phone number: 231-724-1331
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