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1992197115
MILDRED REBECCA RUSSELL-EMERY
GRAND RAPIDS, MI
NPI
1992197115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802063023)
Enumeration Date
2015-02-25
Last Update Date
2015-02-25
Business Address
-- MILDRED REBECCA RUSSELL-EMERY LBSW
4255 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508-3638
Phone number: 616-455-0960
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Mailing Address
-- MILDRED REBECCA RUSSELL-EMERY LBSW
4255 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508-3638
Phone number: 616-466-5243
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