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1477274587
MARK DOUGLAS
GRAND RAPIDS, MI
NPI
1477274587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-09-07
Last Update Date
2023-05-17
Business Address
MARK DOUGLAS LLMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 269-903-7691
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Mailing Address
MARK DOUGLAS LLMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-247-3815
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