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Organization
PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS PC
Active
Organization
PSYCHOLOGY ASSOCIATES OF GRAND RAPIDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG A DE WITT PSYD (OWNER)
(616) 957-9112
Entity
Organization
Contact information
Practice address
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3663
(616) 957-9112
(616) 957-2409
Mailing address
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3663
(616) 957-9112
(616) 957-2409
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
10/04/2012
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