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1215119417
RONALD LEE GROOTERS
WYOMING, MI
NPI
1215119417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801061511)
Enumeration Date
2007-11-29
Last Update Date
2007-11-29
Business Address
Mr. RONALD LEE GROOTERS LMSW, ACSW
5420 MEADOW RUN DR SW
WYOMING, MI 49509-9394
Phone number: 616-559-5864
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Mailing Address
Mr. RONALD LEE GROOTERS LMSW, ACSW
5420 MEADOW RUN DR SW
WYOMING, MI 49509-9394
Phone number: 616-559-5864
Copy
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