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Individual

MS. BONNIE JEAN BAKER HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LBSW, LLMSW

Contact information

Practice address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 224-7476
(616) 224-7589
Mailing address
PO BOX 294, 901 EASTERN AVE. NE, GRAND RAPIDS, MI 49501-0294
(616) 224-7476
(616) 224-7589

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801091590
MI

Other

Enumeration date
10/01/2009
Last updated
10/01/2009
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