MARK EDWARD MUILENBURG

FREMONT, MI
NPI1114043908
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801061098)
Enumeration Date2007-03-22
Last Update Date2007-07-09
Business Address
Mr. MARK EDWARD MUILENBURG LMSW
6995 W 48TH ST
FREMONT, MI 49412-9506
Phone number: 231-924-3390
Mailing Address
Mr. MARK EDWARD MUILENBURG LMSW
420 ELEANOR ST NE
GRAND RAPIDS, MI 49505-4184
Phone number: