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1467923763
TORI LYNN BACK
GRAND RAPIDS, MI
NPI
1467923763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-12
Last Update Date
2018-12-12
Business Address
TORI LYNN BACK CADC CCS
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-942-2110
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Mailing Address
TORI LYNN BACK CADC CCS
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-942-2110
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