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1225687973
ALEXIS MARIE JACOBSON
GRAND RAPIDS, MI
NPI
1225687973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801104526)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
ALEXIS MARIE JACOBSON
1939 DIVISION AVE S
GRAND RAPIDS, MI 49507-2480
Phone number: 616-247-3815
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Mailing Address
ALEXIS MARIE JACOBSON
1939 DIVISION AVE S
GRAND RAPIDS, MI 49507-2480
Phone number: 616-247-3815
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