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1336676311
JAYSEN KING
GRAND RAPIDS, MI
NPI
1336676311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-05-22
Last Update Date
2024-07-09
Business Address
JAYSEN KING
4829 E BELTLINE AVE NE STE 310
GRAND RAPIDS, MI 49525-9350
Phone number: 616-279-6414
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Mailing Address
JAYSEN KING
1617 E MILHAM AVE STE B
PORTAGE, MI 49002-3049
Phone number:
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