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1891455853
JULIE MATA
GRAND RAPIDS, MI
NPI
1891455853
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Former Name
JULIE ROBERTS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802091013)
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
JULIE MATA LLBSW
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
JULIE MATA LLBSW
7204 E GRAND RIVER AVE LOT 319
PORTLAND, MI 48875-8825
Phone number: 517-647-3149
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