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1518395300
MICHELLE PETERSON
GRAND RAPIDS, MI
NPI
1518395300
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801096157)
Enumeration Date
2013-10-15
Last Update Date
2013-10-15
Business Address
-- MICHELLE PETERSON
255 COLRAIN ST SW
GRAND RAPIDS, MI 49548-1013
Phone number: 616-988-1479
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Mailing Address
-- MICHELLE PETERSON
1939 DIVISION AVE S
GRAND RAPIDS, MI 49507-2459
Phone number:
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