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1376326280
ANTHONY KIRVAN
GRAND RAPIDS, MI
NPI
1376326280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851111153)
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
ANTHONY KIRVAN
1720 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505-4705
Phone number: 214-717-3953
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Mailing Address
ANTHONY KIRVAN
8797 FLAT CREEK DR UNIT I
ROCKFORD, MI 49341-8947
Phone number: 214-717-3953
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