CLYDE ALLEN POAG

GRAND RAPIDS, MI
NPI1730398769
Professional NameCLYDE ALLEN POAG
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801012693)
Enumeration Date2007-05-22
Last Update Date2014-01-27
Business Address
Mr. CLYDE ALLEN POAG LCSW
735 EASTERN S.E
GRAND RAPIDS, MI 49506
Phone number: 616-308-1162
Mailing Address
Mr. CLYDE ALLEN POAG LCSW
PO BOX 654
ANTIOCH, TN 37011-0654
Phone number: 616-308-1162
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