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Organization
GREAT LAKES HOPE LLC
Active
Organization
GREAT LAKES HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ELIZABETH BENNETT LMSW (MEMBER)
(231) 670-7416
Entity
Organization
Contact information
Practice address
2687 ODAWA TRL, MUSKEGON, MI 49444-6739
(231) 670-7416
Mailing address
2687 ODAWA TRL, MUSKEGON, MI 49444-6739
(231) 670-7416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
04/07/2021
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