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1417607151
LARRY MARVIN PEAVEY
GRAND RAPIDS, MI
NPI
1417607151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6851114558)
Enumeration Date
2022-03-25
Last Update Date
2023-12-20
Business Address
Mr. LARRY MARVIN PEAVEY MSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-258-7429
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Mailing Address
Mr. LARRY MARVIN PEAVEY MSW
250 ROBERTA JAYNE DR
LOWELL, MI 49331-1244
Phone number: 616-632-3653
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