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1134904295
DUANE BACCHUS
GRAND RAPIDS, MI
NPI
1134904295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851115519)
Enumeration Date
2023-08-28
Last Update Date
2023-08-28
Business Address
DUANE BACCHUS LLMSW
327 RUMSEY ST SW
GRAND RAPIDS, MI 49503-4935
Phone number: 616-819-6168
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Mailing Address
DUANE BACCHUS LLMSW
2201 EMBRO DR SE
GRAND RAPIDS, MI 49508-5104
Phone number: 616-238-9086
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