MICHAEL D SOUKUP

GRAND RAPIDS, MI
NPI1629112933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801019792)
Enumeration Date2007-02-19
Last Update Date2007-07-08
Business Address
Mr. MICHAEL D SOUKUP LMSW
40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4304
Phone number: 616-356-6285
Mailing Address
Mr. MICHAEL D SOUKUP LMSW
1681 WOLVERINE ST
HOLLAND, MI 49423-6741
Phone number: 616-335-2820
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