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1235458878
JAMES FONGERS
GRAND RAPIDS, MI
NPI
1235458878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801017233)
Enumeration Date
2010-05-21
Last Update Date
2010-05-21
Business Address
-- JAMES FONGERS MSW, LMSW
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505-5650
Phone number: 616-956-1122
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Mailing Address
-- JAMES FONGERS MSW, LMSW
1870 LEONARD ST NE
GRAND RAPIDS, MI 49505-5650
Phone number: 616-956-1122
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