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1215659222
AUTUMN LANAE HENDRICKS
GRAND RAPIDS, MI
NPI
1215659222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
AUTUMN LANAE HENDRICKS
2335 BURTON ST SE STE 210
GRAND RAPIDS, MI 49506-4669
Phone number: 616-236-3600
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Mailing Address
AUTUMN LANAE HENDRICKS
2655 GRAND CASTLE BLVD SW APT E311
GRANDVILLE, MI 49418-1695
Phone number: 313-970-8378
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