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1255805396
JENNY KELLOGG
GRAND RAPIDS, MI
NPI
1255805396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801097341)
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
JENNY KELLOGG LMSW
2161 LEONARD ST NW
GRAND RAPIDS, MI 49504-3829
Phone number: 616-719-0919
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Mailing Address
JENNY KELLOGG LMSW
2161 LEONARD ST NW
GRAND RAPIDS, MI 49504-3829
Phone number: 616-719-0919
Copy
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