BRIAN LYNN GRIPENTROG

ADA, MI
NPI1407450984
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801089592)
Enumeration Date2020-11-25
Last Update Date2020-11-25
Business Address
BRIAN LYNN GRIPENTROG MSW
5301 ADA DR SE
ADA, MI 49301-7831
Phone number: 616-706-3666
Mailing Address
BRIAN LYNN GRIPENTROG MSW
5301 ADA DR SE
ADA, MI 49301-7831
Phone number: 616-706-3666