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1134673361
BETH ELLEN SHEPHERD
GRAND RAPIDS, MI
NPI
1134673361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801087817)
Enumeration Date
2016-08-04
Last Update Date
2019-05-20
Business Address
BETH ELLEN SHEPHERD LMSW
1545 68TH ST SE STE 100
GRAND RAPIDS, MI 49508-7896
Phone number: 616-267-7881
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Mailing Address
BETH ELLEN SHEPHERD LMSW
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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