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1386954766
TERRY MICHAEL KELLER
GRAND RAPIDS, MI
NPI
1386954766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801088906)
Enumeration Date
2010-10-19
Last Update Date
2010-10-19
Business Address
Mr. TERRY MICHAEL KELLER LMSW, ACSW
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4304
Phone number: 616-456-1443
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Mailing Address
Mr. TERRY MICHAEL KELLER LMSW, ACSW
431 PRICE ST
IONIA, MI 48846-1450
Phone number: 616-540-1499
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