| Kathleen Laarman Llc | |
|
3737 Lake Eastbrook Blvd Se 201 Grand Rapids MI 49546-5993 | |
| (616) 676-7073 | |
| (616) 606-3548 |
| Full Name | Kathleen Laarman Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3737 Lake Eastbrook Blvd Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kathleen Ann Laarman (SOLE MBR) |
| Authorized Official Contact | 6166767073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Laarman Llc Po Box 1767 Grand Rapids MI 49501-1767 Ph: (616) 235-2090 | Kathleen Laarman Llc 3737 Lake Eastbrook Blvd Se 201 Grand Rapids MI 49546-5993 Ph: (616) 676-7073 |
| NPI Number | 1801294939 |
|---|---|
| Provider Enumeration Date | 12/05/2014 |
| Last Update Date | 12/05/2014 |
| Medicare PECOS PAC ID | 6901120526 |
|---|---|
| Medicare Enrollment ID | O20150130000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801294939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathleen A Laarman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477702074 PECOS PAC ID: 3476611179 Enrollment ID: I20081024000312 |
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