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1619368552
THERESA FUNK
GRAND RAPIDS, MI
NPI
1619368552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802062779)
Enumeration Date
2015-02-13
Last Update Date
2015-02-13
Business Address
-- THERESA FUNK LBSW
4255 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508-3638
Phone number: 616-455-0960
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Mailing Address
-- THERESA FUNK LBSW
PO BOX 68327
GRAND RAPIDS, MI 49516-8327
Phone number: 616-774-0538
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