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1124376751
CARL LAWRENCE FRASER
HOLLAND, MI
NPI
1124376751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801094552)
Enumeration Date
2012-08-29
Last Update Date
2015-10-05
Business Address
Mr. CARL LAWRENCE FRASER LMSW
12265 JAMES ST
HOLLAND, MI 49424-8613
Phone number: 616-494-5447
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Mailing Address
Mr. CARL LAWRENCE FRASER LMSW
12265 JAMES ST
HOLLAND, MI 49424-8613
Phone number: 616-494-5447
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