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1417374836
SHIRLEY GAIL BRUSSEAU
GRAND RAPIDS, MI
NPI
1417374836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801019042)
Enumeration Date
2014-03-24
Last Update Date
2014-03-24
Business Address
-- SHIRLEY GAIL BRUSSEAU LMSW
2100 RAYBROOK ST SE
GRAND RAPIDS, MI 49546-7759
Phone number: 616-954-1504
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Mailing Address
-- SHIRLEY GAIL BRUSSEAU LMSW
2100 RAYBROOK ST SE
GRAND RAPIDS, MI 49546-7759
Phone number: 616-954-1504
Copy
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