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1619111036
TERRY LEE WING
ALLEGAN, MI
NPI
1619111036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6801086799)
Enumeration Date
2009-04-29
Last Update Date
2009-04-29
Business Address
Mr. TERRY LEE WING LMSW (Macro)
277 NORTH ST
ALLEGAN, MI 49010-1138
Phone number: 269-673-5092
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Mailing Address
Mr. TERRY LEE WING LMSW (Macro)
1629 PHILADELPHIA AVE SE
GRAND RAPIDS, MI 49507-2251
Phone number: 616-241-1736
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