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Individual

MR. JACOB STINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLBSW

Contact information

Practice address
483 CENTURY LN, HOLLAND, MI 49423-4286
(616) 396-5284
Mailing address
483 CENTURY LN, HOLLAND, MI 49423-4286

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6852093940
MI

Other

Enumeration date
12/18/2023
Last updated
12/18/2023
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