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Organization
JILL DUBRIDGE COUNSELING
Active
Organization
JILL DUBRIDGE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL E DUBRIDGE LMSW (OWNER)
(616) 334-8100
Entity
Organization
Contact information
Practice address
311 AUBURN AVE SE, GRAND RAPIDS, MI 49506-1623
(616) 334-8100
Mailing address
311 AUBURN AVE SE, GRAND RAPIDS, MI 49506-1623
(616) 334-8100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680109566
LARA
MI
Enumeration date
06/23/2022
Last updated
06/23/2022
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