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1356839914
KAITLIN MARIE JOHANNSEN
GRAND RAPIDS, MI
NPI
1356839914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 090633)
Enumeration Date
2018-04-28
Last Update Date
2018-08-20
Business Address
KAITLIN MARIE JOHANNSEN
300 68TH ST SE
GRAND RAPIDS, MI 49548
Phone number: 616-281-6372
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Mailing Address
KAITLIN MARIE JOHANNSEN
2611 WASHINGTON ST
PELLA, IA 50219-7924
Phone number:
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