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1336286491
WANDA HENDRICKSON
GRAND RAPIDS, MI
NPI
1336286491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 4101005850)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- WANDA HENDRICKSON LMFT, LMSW
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503-1201
Phone number: 616-224-7617
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Mailing Address
-- WANDA HENDRICKSON LMFT, LMSW
PO BOX 294
GRAND RAPIDS, MI 49501-0294
Phone number: 616-224-7617
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