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Organization
VICKI POLENI LMSW
Active
Organization
VICKI POLENI LMSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI POLENI LMSW (OWNER)
(616) 901-0149
Entity
Organization
Contact information
Practice address
600 3 MILE RD NW STE 101, GRAND RAPIDS, MI 49544-1691
(616) 901-0149
Mailing address
14107 BELDING RD NE, BELDING, MI 48809-9635
(616) 901-0149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
06/15/2023
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