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1801014220
REBECCA MAE CLODFELDER MOOREHEAD
GRAND RAPIDS, MI
NPI
1801014220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801076870)
Enumeration Date
2007-04-23
Last Update Date
2007-07-08
Business Address
-- REBECCA MAE CLODFELDER MOOREHEAD LMSW
1331 LAKE DR SE
GRAND RAPIDS, MI 49506-1674
Phone number: 616-459-7215
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Mailing Address
-- REBECCA MAE CLODFELDER MOOREHEAD LMSW
5758 E GROVE DR SE
KENTWOOD, MI 49512-9524
Phone number: 616-698-6762
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