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1134442502
PAUL TIMOTHY SAMUELSON
GRAND RAPIDS, MI
NPI
1134442502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401009994)
Enumeration Date
2010-03-12
Last Update Date
2024-01-05
Business Address
Mr. PAUL TIMOTHY SAMUELSON LPC
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-258-7467
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Mailing Address
Mr. PAUL TIMOTHY SAMUELSON LPC
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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