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1831655422
JACOB MOON
GRAND RAPIDS, MI
NPI
1831655422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MI 4101007162)
Enumeration Date
2019-02-19
Last Update Date
2024-04-01
Business Address
JACOB MOON MS, LMFT
80 OTTAWA AVE NW STE 405
GRAND RAPIDS, MI 49503-2648
Phone number: 616-209-8450
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Mailing Address
JACOB MOON MS, LMFT
80 OTTAWA AVE NW STE 405
GRAND RAPIDS, MI 49503-2648
Phone number: 616-209-8450
Copy
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