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1912020165
GLENDA MARIE MIRANDA
GRAND RAPIDS, MI
NPI
1912020165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801088446)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
-- GLENDA MARIE MIRANDA LLMSW
1101 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
-- GLENDA MARIE MIRANDA LLMSW
142 DEPOT LN
HOLLAND, MI 49424-7400
Phone number: 161-645-6657
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