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1427422427
CARLEE MICHELLE RUSSOM
GRAND RAPIDS, MI
NPI
1427422427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801096984)
Enumeration Date
2015-11-14
Last Update Date
2023-04-06
Business Address
Ms. CARLEE MICHELLE RUSSOM LMSW
4519 CASCADE RD SE STE 5
GRAND RAPIDS, MI 49546-8319
Phone number: 616-228-2045
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Mailing Address
Ms. CARLEE MICHELLE RUSSOM LMSW
PO BOX 10
MASON, MI 48854-0010
Phone number:
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