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1437927894
KIP MICHAEL FORNESS
GRAND RAPIDS, MI
NPI
1437927894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301019395)
Enumeration Date
2023-12-15
Last Update Date
2024-12-02
Business Address
KIP MICHAEL FORNESS PSYD
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503-2530
Phone number: 616-267-2830
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Mailing Address
KIP MICHAEL FORNESS PSYD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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