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1962988030
LISA R BAKER
GRAND RAPIDS, MI
NPI
1962988030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801087395)
Enumeration Date
2018-07-12
Last Update Date
2018-07-12
Business Address
LISA R BAKER LCMS, BC-TMH
1115 ALTO AVE SE
GRAND RAPIDS, MI 49507-1403
Phone number: 616-443-3853
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Mailing Address
LISA R BAKER LCMS, BC-TMH
5085 SUNNY CREEK CT SE
GRAND RAPIDS, MI 49508-4972
Phone number: 616-443-3853
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