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1679045298
BENJAMIN JACOBS
GRAND RAPIDS, MI
NPI
1679045298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801095780)
Enumeration Date
2018-12-20
Last Update Date
2018-12-20
Business Address
BENJAMIN JACOBS
2100 RAYBROOK ST SE STE 300
GRAND RAPIDS, MI 49546-5783
Phone number: 616-235-5100
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Mailing Address
BENJAMIN JACOBS
2100 RAYBROOK ST SE
GRAND RAPIDS, MI 49546-7759
Phone number: 616-235-5100
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