ETHAN PEMBERTON

GRAND RAPIDS, MI
NPI1306486204
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-01-09
Last Update Date2026-06-12
Business Address
ETHAN PEMBERTON
206 FULLER AVE SE
GRAND RAPIDS, MI 49506-1638
Phone number: 810-347-2159
Mailing Address
ETHAN PEMBERTON
206 FULLER AVE SE
GRAND RAPIDS, MI 49506-1638
Phone number: 810-347-2159
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