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1275043994
GEOFFREY ALAN WEAVER
GRAND RAPIDS, MI
NPI
1275043994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-08
Last Update Date
2017-10-08
Business Address
GEOFFREY ALAN WEAVER
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
GEOFFREY ALAN WEAVER
1250 KELSEY ST NE
GRAND RAPIDS, MI 49505-3860
Phone number: 616-826-9078
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