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1124533757
MATTHEW SCOTT PETTINGA
GRAND RAPIDS, MI
NPI
1124533757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MI 6401015324)
Enumeration Date
2017-12-05
Last Update Date
2021-09-24
Business Address
MATTHEW SCOTT PETTINGA MA, LPC
5557 28TH ST SE STE B
GRAND RAPIDS, MI 49512-2035
Phone number: 616-303-4599
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Mailing Address
MATTHEW SCOTT PETTINGA MA, LPC
5557 28TH ST SE STE B
GRAND RAPIDS, MI 49512-2035
Phone number: 616-303-4599
Copy
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