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Organization
LAVANGE BARTH LLC
Active
Organization
LAVANGE BARTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVANGE BARTH LMSW (OWNER)
(616) 913-8590
Entity
Organization
Contact information
Practice address
400 MONROE AVE NW STE 400, GRAND RAPIDS, MI 49503-1476
(616) 913-8590
Mailing address
848 GRACELAND ST NE, GRAND RAPIDS, MI 49505-4376
(616) 913-8590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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