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1124242755
JACK GREENFIELD
GRAND RAPIDS, MI
NPI
1124242755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801016263)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
Mr. JACK GREENFIELD LMSW
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-7775
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Mailing Address
Mr. JACK GREENFIELD LMSW
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-7775
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