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1336581024
DERIK VANBAALE
NORTON SHORES, MI
NPI
1336581024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801091310)
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
Mr. DERIK VANBAALE LMSW
5000 HAKES DR
NORTON SHORES, MI 49441-5574
Phone number: 269-419-9980
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Mailing Address
Mr. DERIK VANBAALE LMSW
5000 HAKES DR
NORTON SHORES, MI 49441-5574
Phone number: 269-419-9980
Copy
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