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1497373930
TERESA SOFIA ELAM
GRAND RAPIDS, MI
NPI
1497373930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6362002072)
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
TERESA SOFIA ELAM TLLP
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503
Phone number: 616-256-3174
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Mailing Address
TERESA SOFIA ELAM TLLP
3701 HERON AVE SW
WYOMING, MI 49509
Phone number: 616-304-0465
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