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1184054652
ADOLESCENT AND FAMILY BEHAVIORAL HEALTH SERVICES
GRAND RAPIDS, MI
NPI
1184054652
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Entity Type
Organization
Authorized Contact
VALENCIA AGNEW
Psychologist
616-719-0194
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301015520)
Enumeration Date
2013-11-20
Last Update Date
2019-02-09
Business Address
ADOLESCENT AND FAMILY BEHAVIORAL HEALTH SERVICES
3501 LAKE EASTBROOK BLVD SE #258
GRAND RAPIDS, MI 49546-5938
Phone number: 616-719-0194
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Mailing Address
ADOLESCENT AND FAMILY BEHAVIORAL HEALTH SERVICES
2566 WOODMEADOW DR SE
GRAND RAPIDS, MI 49546-8031
Phone number: 616-719-0194
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