KELLY J FAIRCHILD

GRAND RAPIDS, MI
NPI1447557111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801058552)
Enumeration Date2011-02-16
Last Update Date2011-02-16
Business Address
-- KELLY J FAIRCHILD LMSW
3351 EAGLE RUN DR NE STE C
GRAND RAPIDS, MI 49525-7070
Phone number: 616-365-8920
Mailing Address
-- KELLY J FAIRCHILD LMSW
3351 EAGLE RUN DR NE STE C
GRAND RAPIDS, MI 49525-7070
Phone number: 616-365-8920
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