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1376193714
TATIANA BENNIEFIELD
GRAND RAPIDS, MI
NPI
1376193714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: IL 51480196925B)
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
TATIANA BENNIEFIELD
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
TATIANA BENNIEFIELD
420 FULTON ST W
GRAND RAPIDS, MI 49504-6436
Phone number: 708-224-9017
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