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1679953012
JENNA LEE
GRAND RAPIDS, MI
NPI
1679953012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801095916)
Enumeration Date
2015-06-01
Last Update Date
2015-06-01
Business Address
Miss JENNA LEE LLMSW, QIDP
805 LEONARD ST NE
GRAND RAPIDS, MI 49503-1138
Phone number: 616-588-7221
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Mailing Address
Miss JENNA LEE LLMSW, QIDP
805 LEONARD ST NE
GRAND RAPIDS, MI 49503-1138
Phone number: 616-588-7221
Copy
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