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1346607090
SUSAN MARK
GRAND RAPIDS, MI
NPI
1346607090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 680107224)
Enumeration Date
2016-01-26
Last Update Date
2016-05-16
Business Address
-- SUSAN MARK lmsw
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-550-6114
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Mailing Address
-- SUSAN MARK lmsw
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-550-6114
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