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1902545650
PERRY L BENNOR
GRAND RAPIDS, MI
NPI
1902545650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801090866)
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
PERRY L BENNOR LMSW
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
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Mailing Address
PERRY L BENNOR LMSW
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
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