SHAWN LAMONT TALLY

GRAND RAPIDS, MI
NPI1447733951
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2018-09-11
Last Update Date2018-09-11
Business Address
SHAWN LAMONT TALLY
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
Mailing Address
SHAWN LAMONT TALLY
1041 HOVEY ST SW
GRAND RAPIDS, MI 49504-6154
Phone number: 313-980-5533