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1417378225
GEORGIANNA POULOS
GRAND RAPIDS, MI
NPI
1417378225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801093719)
Enumeration Date
2013-12-20
Last Update Date
2019-10-21
Business Address
GEORGIANNA POULOS LMSW
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-5609
Phone number: 616-447-5820
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Mailing Address
GEORGIANNA POULOS LMSW
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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