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1831580844
JAMES DOMAGALA
GRAND RAPIDS, MI
NPI
1831580844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801034673)
Enumeration Date
2015-02-12
Last Update Date
2015-02-12
Business Address
Mr. JAMES DOMAGALA LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-258-7465
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Mailing Address
Mr. JAMES DOMAGALA LMSW
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-258-7465
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