SHANNON BRUIN

GRAND RAPIDS, MI
NPI1548629637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  L770724)
Enumeration Date2016-02-17
Last Update Date2016-02-17
Business Address
-- SHANNON BRUIN
1530 MADISON AVE SE
GRAND RAPIDS, MI 49507-1715
Phone number: 616-893-8025
Mailing Address
-- SHANNON BRUIN
901 EASTERN AVE NE
GRAND RAPIDS, MI 49503-1201
Phone number:
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