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Organization
KIMBERLY LICHON-TUFER
Active
Organization
KIMBERLY LICHON-TUFER
Active
Parent organization
KIMBERLY LICHON-TUFER, LMSW, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIMBERLY LICHON-TUFER, LMSW, LLC
Authorized official
MRS. KIMBERLY SUE LICHON-TUFER LMSW (CLINICAL SOCIAL WORKER/THERAPIST)
(616) 813-3394
Entity
Organization
Contact information
Practice address
401 HALL ST SW STE 185A, GRAND RAPIDS, MI 49503-5098
(616) 813-3394
Mailing address
401 HALL ST SW STE 185A, GRAND RAPIDS, MI 49503-5098
(616) 813-3394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VS0114295
—
MI
Enumeration date
01/06/2023
Last updated
01/06/2023
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