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1942692009
FREDERICK WARD
GRAND RAPIDS, MI
NPI
1942692009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801015335)
Enumeration Date
2015-02-26
Last Update Date
2015-02-26
Business Address
-- FREDERICK WARD
4255 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508-3638
Phone number: 616-774-0853
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Mailing Address
-- FREDERICK WARD
4255 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508-3638
Phone number: 616-774-0853
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