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1447557111
KELLY J FAIRCHILD
GRAND RAPIDS, MI
NPI
1447557111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801058552)
Enumeration Date
2011-02-16
Last Update Date
2011-02-16
Business Address
-- KELLY J FAIRCHILD LMSW
3351 EAGLE RUN DR NE STE C
GRAND RAPIDS, MI 49525-7070
Phone number: 616-365-8920
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Mailing Address
-- KELLY J FAIRCHILD LMSW
3351 EAGLE RUN DR NE STE C
GRAND RAPIDS, MI 49525-7070
Phone number: 616-365-8920
Copy
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