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1598367245
LAURA MICHELLE RUSSELL
GRAND RAPIDS, MI
NPI
1598367245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801106449)
Enumeration Date
2020-11-09
Last Update Date
2020-11-13
Business Address
LAURA MICHELLE RUSSELL LMSW
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1955
Phone number: 616-391-9536
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Mailing Address
LAURA MICHELLE RUSSELL LMSW
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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