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1225154800
BRENDAN NEUBECKER KELLY
GRAND RAPIDS, MI
NPI
1225154800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801087301)
Enumeration Date
2007-03-22
Last Update Date
2019-02-25
Business Address
Mr. BRENDAN NEUBECKER KELLY LMSW
1118 FRONT AVE NW STE 1
GRAND RAPIDS, MI 49504
Phone number: 616-458-6870
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Mailing Address
Mr. BRENDAN NEUBECKER KELLY LMSW
1118 FRONT AVE NW STE 1
GRAND RAPIDS, MI 49504-7513
Phone number: 616-458-6870
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