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1922649102
BRADLEY J WALLSTEADT
GRAND RAPIDS, MI
NPI
1922649102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801104345)
Enumeration Date
2019-09-30
Last Update Date
2024-01-29
Business Address
BRADLEY J WALLSTEADT LMSW
2750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525-8614
Phone number: 616-267-7015
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Mailing Address
BRADLEY J WALLSTEADT LMSW
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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