| Vicki Poleni Lmsw | |
|
600 3 Mile Rd Nw Ste 101 Grand Rapids MI 49544-1691 | |
| (616) 901-0149 | |
| Not Available |
| Full Name | Vicki Poleni Lmsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 600 3 Mile Rd Nw Ste 101, Grand Rapids, Michigan |
| Authorized Official Name and Position | Vicki Poleni (OWNER) |
| Authorized Official Contact | 6169010149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki Poleni Lmsw 14107 Belding Rd Ne Belding MI 48809-9635 Ph: (616) 901-0149 | Vicki Poleni Lmsw 600 3 Mile Rd Nw Ste 101 Grand Rapids MI 49544-1691 Ph: (616) 901-0149 |
| NPI Number | 1639887144 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639887144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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