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1568191666
ELISE WAUGH
GRAND RAPIDS, MI
NPI
1568191666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851115032)
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
ELISE WAUGH
4829 E BELTLINE AVE NE STE 101
GRAND RAPIDS, MI 49525-9349
Phone number: 312-833-0565
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Mailing Address
ELISE WAUGH
236 HAMPTON AVE SE APT 2
GRAND RAPIDS, MI 49506-1706
Phone number: 312-833-0565
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