is a Clinical in Grand Rapids, Michigan. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1508916818. The last update date is .
's current location address is 1000 Parchment Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169579112 and fax number 6169572409. The mailing address for is 1000 Parchment Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1000 Parchment Dr Se, Grand Rapids, Michigan |
| Phone Number | 6169579112 |
| Fax Number | 6169572409 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1508916818 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1000 Parchment Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495463663 |
| Phone Number | 6169579112 |
| Fax Number | 6169572409 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801061738 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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