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1790517753
MELISSA CAROL THELEN
GRAND RAPIDS, MI
NPI
1790517753
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Former Name
MELISSA CAROL EAVEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851085895)
Enumeration Date
2024-08-19
Last Update Date
2024-08-19
Business Address
Mrs. MELISSA CAROL THELEN LLMSW, MA
2566 WOODMEADOW DR SE
GRAND RAPIDS, MI 49546-8031
Phone number: 616-719-0194
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Mailing Address
Mrs. MELISSA CAROL THELEN LLMSW, MA
3070 MAPLEVALE CT SW
GRANDVILLE, MI 49418-2077
Phone number: 517-224-6018
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