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1356615009
SUZANNE M PORTILLO
GRAND RAPIDS, MI
NPI
1356615009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801086762)
Enumeration Date
2012-02-28
Last Update Date
2023-10-02
Business Address
SUZANNE M PORTILLO LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5270
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Mailing Address
SUZANNE M PORTILLO LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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