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Organization
SUSAN JONGEKRYG LMSW LLC
Active
Organization
SUSAN JONGEKRYG LMSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN JONGEKRYG LMSW (CLINICAL SOCIAL WORKER)
(616) 949-9006
Entity
Organization
Contact information
Practice address
3180 E PARIS AVE SE, GRAND RAPIDS, MI 49512-1926
(616) 949-9006
Mailing address
6945 BELDING RD. NE, ROCKFORD, MI 49341
(616) 329-3642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801094737
MI
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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