| Willow Waters Therapy | |
|
103 College Ave Se Grand Rapids MI 49503-5921 | |
| (616) 466-4776 | |
| Not Available |
| Full Name | Willow Waters Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 103 College Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Susan Kim Vandergriend (PROVIDER) |
| Authorized Official Contact | 6164664776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Waters Therapy 103 College Ave Se Grand Rapids MI 49503-5921 Ph: (616) 466-4776 | Willow Waters Therapy 103 College Ave Se Grand Rapids MI 49503-5921 Ph: (616) 466-4776 |
| NPI Number | 1326899220 |
|---|---|
| Provider Enumeration Date | 03/28/2024 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326899220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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