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1356012249
JESSICA R FASBURG
GRAND RAPIDS, MI
NPI
1356012249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401019406)
Enumeration Date
2021-09-21
Last Update Date
2024-01-17
Business Address
Ms. JESSICA R FASBURG LPC
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-258-7467
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Mailing Address
Ms. JESSICA R FASBURG LPC
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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