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1679149975
CANDACE MARTIN
GRAND RAPIDS, MI
NPI
1679149975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801105933)
Enumeration Date
2021-05-28
Last Update Date
2022-06-07
Business Address
CANDACE MARTIN
2130 44TH ST SE
GRAND RAPIDS, MI 49508-5012
Phone number: 269-830-1370
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Mailing Address
CANDACE MARTIN
2523 NORMANDY DR SE
GRAND RAPIDS, MI 49506-5436
Phone number: 269-830-1370
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