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Organization
LIFE SUPPORT LLC
Active
Organization
LIFE SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CLAUSER LMSW (OWNER)
(616) 690-0556
Entity
Organization
Contact information
Practice address
5270 NORTHLAND DR NE, GRAND RAPIDS, MI 49525-1073
(616) 690-0556
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/13/2016
Last updated
02/13/2016
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