JAMES LOUIS HEAVENRICH

EAST LANSING, MI
NPI1124212410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
Enumeration Date2007-08-30
Last Update Date2007-08-30
Business Address
MR. JAMES LOUIS HEAVENRICH MSSA
415 W GRAND RIVER AVE
EAST LANSING, MI 48823-4201
Phone number: 517-337-2545
Mailing Address
MR. JAMES LOUIS HEAVENRICH MSSA
415 W GRAND RIVER AVE
EAST LANSING, MI 48823-4201
Phone number: 517-337-2545
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