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1417971631
JANE A LONGSTREET
HOLLAND, MI
NPI
1417971631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801083049)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- JANE A LONGSTREET LMSW
12265 JAMES ST
HOLLAND, MI 49424-8613
Phone number: 616-494-5453
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Mailing Address
-- JANE A LONGSTREET LMSW
12265 JAMES ST
HOLLAND, MI 49424-8613
Phone number: 616-494-5453
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