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Organization
STACEY VANDERKLOK, LLC
Active
Organization
STACEY VANDERKLOK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY VANDERKLOK (CLINICAL SOCIAL WORKER)
(616) 350-3968
Entity
Organization
Contact information
Practice address
600 3 MILE RD NW STE 101, GRAND RAPIDS, MI 49544-1691
(616) 207-3292
Mailing address
600 3 MILE RD NW STE 101, GRAND RAPIDS, MI 49544-1691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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