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1891187183
LISA WENGER
GRAND RAPIDS, MI
NPI
1891187183
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Former Name
LISA JO WILLYARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802070134)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
LISA WENGER
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-8010
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Mailing Address
LISA WENGER
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-8010
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