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1750166435
BRYAN MICHAEL JACKSON
HOLLAND, MI
NPI
1750166435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851117238)
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
BRYAN MICHAEL JACKSON
170 COLLEGE AVE STE 310
HOLLAND, MI 49423-2982
Phone number: 616-426-9034
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Mailing Address
BRYAN MICHAEL JACKSON
170 COLLEGE AVE STE 310
HOLLAND, MI 49423-2982
Phone number:
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