TARA HENDERSON

GRAND RAPIDS, MI
NPI1952907685
Former NameTARA PUMMELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801117772)
Enumeration Date2020-12-08
Last Update Date2024-06-27
Business Address
TARA HENDERSON
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-942-2110
Mailing Address
TARA HENDERSON
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-942-2110
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