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1710479142
JANELLE MOULDING
GRAND RAPIDS, MI
NPI
1710479142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-06-01
Last Update Date
2019-08-08
Business Address
JANELLE MOULDING
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Phone number: 616-942-2110
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Mailing Address
JANELLE MOULDING
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-260-6636
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