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1871164772
MELISSA R BOUMA
GRANDVILLE, MI
NPI
1871164772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801109004)
Enumeration Date
2021-07-02
Last Update Date
2021-07-02
Business Address
MELISSA R BOUMA
3290 IVANREST AVE SW
GRANDVILLE, MI 49418-2018
Phone number: 616-250-1576
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Mailing Address
MELISSA R BOUMA
3290 IVANREST AVE SW
GRANDVILLE, MI 49418-2018
Phone number: 616-250-1576
Copy
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