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1649301276
MICHAEL JOHN GILLEN
GRAND RAPIDS, MI
NPI
1649301276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801085857)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL JOHN GILLEN m.s.w.
3949 SPARKS DR SE STE 103
GRAND RAPIDS, MI 49546-6110
Phone number: 616-957-5850
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Mailing Address
Mr. MICHAEL JOHN GILLEN m.s.w.
5983 CASCADE RD SE
GRAND RAPIDS, MI 49546-6415
Phone number: 616-949-1089
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