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1124212410
JAMES LOUIS HEAVENRICH
EAST LANSING, MI
NPI
1124212410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-08-30
Last Update Date
2007-08-30
Business 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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Mailing Address
Mr. JAMES LOUIS HEAVENRICH MSSA
415 W GRAND RIVER AVE
EAST LANSING, MI 48823-4201
Phone number: 517-337-2545
Copy
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