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1811423015
KALEY J WONDERGEM
GRAND RAPIDS, MI
NPI
1811423015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801105247)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-05-08
Last Update Date
2021-01-08
Business Address
KALEY J WONDERGEM
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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Mailing Address
KALEY J WONDERGEM
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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