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1255541462
ANNITA LIST
GRAND RAPIDS, MI
NPI
1255541462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801061325)
Enumeration Date
2007-05-23
Last Update Date
2007-07-09
Business Address
-- ANNITA LIST LMSW
744 BURTON ST SE
GRAND RAPIDS, MI 49507-3204
Phone number: 616-451-1965
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Mailing Address
-- ANNITA LIST LMSW
5423 CLAUDIA AVE SE
KENTWOOD, MI 49548-5844
Phone number: 616-531-5315
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