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1154615789
KEN TABER
GRAND RAPIDS, MI
NPI
1154615789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801066952)
Enumeration Date
2011-05-31
Last Update Date
2011-05-31
Business Address
-- KEN TABER MSW
1345 MONROE AVE NW
GRAND RAPIDS, MI 49505-4671
Phone number: 616-233-1187
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Mailing Address
-- KEN TABER MSW
1345 MONROE AVE NW
GRAND RAPIDS, MI 49505-4671
Phone number: 616-233-1187
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