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1932145729
BRENT MICHAEL ELLENS
HOLLAND, MI
NPI
1932145729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301011810)
Enumeration Date
2006-06-21
Last Update Date
2022-01-07
Business Address
Dr. BRENT MICHAEL ELLENS Psy.D.
720 E 8TH ST STE 2
HOLLAND, MI 49423-3079
Phone number: 616-355-0549
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Mailing Address
Dr. BRENT MICHAEL ELLENS Psy.D.
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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