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1740957133
SPACE FOR CHANGE THERAPEUTIC SERVICES, LLC
JENISON, MI
NPI
1740957133
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Entity Type
Organization
Authorized Contact
TASHUNA HUNT
Lead Therapist
616-322-3803
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
SPACE FOR CHANGE THERAPEUTIC SERVICES, LLC
1352 BALDWIN ST
JENISON, MI 49428-8937
Phone number: 616-322-3803
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Mailing Address
SPACE FOR CHANGE THERAPEUTIC SERVICES, LLC
1352 BALDWIN ST
JENISON, MI 49428-8937
Phone number: 616-322-3803
Copy
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