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1831608199
NICOLE R LOGIE
GRAND RAPIDS, MI
NPI
1831608199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-29
Last Update Date
2017-09-29
Business Address
NICOLE R LOGIE
1101 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-7775
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Mailing Address
NICOLE R LOGIE
1101 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number:
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