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1851177927
JASON RUSSELL VANWORMER
GRAND RAPIDS, MI
NPI
1851177927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6851115518)
Enumeration Date
2023-09-05
Last Update Date
2023-09-05
Business Address
JASON RUSSELL VANWORMER MSW
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number: 616-965-8200
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Mailing Address
JASON RUSSELL VANWORMER MSW
933 CARPENTER AVE NW
GRAND RAPIDS, MI 49504-3724
Phone number: 616-430-9872
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