| Board Of Education Kent County | |
|
1331 Franklin St Se Grand Rapids MI 49506-2634 | |
| (616) 819-4806 | |
| Not Available |
| Full Name | Board Of Education Kent County |
|---|---|
| Speciality | Social Worker |
| Location | 1331 Franklin St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Jennifer Videan (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8009686866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Board Of Education Kent County 1331 Franklin St Se Grand Rapids MI 49506-2634 Ph: () - | Board Of Education Kent County 1331 Franklin St Se Grand Rapids MI 49506-2634 Ph: (616) 819-4806 |
| NPI Number | 1407457633 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407457633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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