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1891842936
BEVAN LEE LEACH
MUSKEGON, MI
NPI
1891842936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801016568)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Mr. BEVAN LEE LEACH LMSW
1150 E SHERMAN BLVD STE 1125
MUSKEGON, MI 49444-1894
Phone number: 231-672-3723
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Mailing Address
Mr. BEVAN LEE LEACH LMSW
85 SANDY POINT DR
HOLLAND, MI 49424-2523
Phone number: 616-796-0385
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