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1255732921
SHANITA THEIL
GRANDVILLE, MI
NPI
1255732921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401014175)
Enumeration Date
2014-09-11
Last Update Date
2023-12-20
Business Address
Mrs. SHANITA THEIL MA LPC
4211 PARKWAY PLACE DR SW
GRANDVILLE, MI 49418-2695
Phone number: 616-222-3700
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Mailing Address
Mrs. SHANITA THEIL MA LPC
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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