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1992192983
MALLORY WEST
GRAND RAPIDS, MI
NPI
1992192983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801091307)
Enumeration Date
2015-04-17
Last Update Date
2015-04-17
Business Address
-- MALLORY WEST LMSW
805 LEONARD ST NE
GRAND RAPIDS, MI 49503-1138
Phone number: 616-451-2021
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Mailing Address
-- MALLORY WEST LMSW
805 LEONARD ST NE
GRAND RAPIDS, MI 49503-1138
Phone number: 616-451-2021
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