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1184447344
CAROLYNE ROSE THATCHER
GRAND RAPIDS, MI
NPI
1184447344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-11-06
Last Update Date
2024-11-06
Business Address
CAROLYNE ROSE THATCHER
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
CAROLYNE ROSE THATCHER
5360 KENOWA AVE SW
WYOMING, MI 49418-9507
Phone number:
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