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1396103768
SHANNON FORD
GRAND RAPIDS, MI
NPI
1396103768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801097556)
Enumeration Date
2016-02-01
Last Update Date
2016-02-01
Business Address
-- SHANNON FORD LMSW
2334 ENGLEWOOD DR SE
GRAND RAPIDS, MI 49506-4515
Phone number: 248-515-4323
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Mailing Address
-- SHANNON FORD LMSW
2334 ENGLEWOOD DR SE
GRAND RAPIDS, MI 49506-4515
Phone number: 248-515-4323
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