| Kimberly Lichon-tufer | |
|
401 Hall St Sw Ste 185a Grand Rapids MI 49503-5098 | |
| (616) 813-3394 | |
| Not Available |
| Full Name | Kimberly Lichon-tufer |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 401 Hall St Sw Ste 185a, Grand Rapids, Michigan |
| Authorized Official Name and Position | Kimberly Sue Lichon-tufer (CLINICAL SOCIAL WORKER/THERAPIST) |
| Authorized Official Contact | 6168133394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Lichon-tufer 401 Hall St Sw Ste 185a Grand Rapids MI 49503-5098 Ph: (616) 813-3394 | Kimberly Lichon-tufer 401 Hall St Sw Ste 185a Grand Rapids MI 49503-5098 Ph: (616) 813-3394 |
| NPI Number | 1881308666 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881308666 | NPI | - | NPPES |
| VS0114295 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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