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1447733951
SHAWN LAMONT TALLY
GRAND RAPIDS, MI
NPI
1447733951
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
SHAWN LAMONT TALLY
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
SHAWN LAMONT TALLY
1041 HOVEY ST SW
GRAND RAPIDS, MI 49504-6154
Phone number: 313-980-5533
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