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Organization
JENNIFER FLANDERS, LMSW, LLC
Active
Organization
JENNIFER FLANDERS, LMSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEVA QUINN (CREDENTIALING SPECIALIST)
(616) 239-0810
Entity
Organization
Contact information
Practice address
1518 CARLTON AVE NE, GRAND RAPIDS, MI 49505-5410
(616) 217-9291
Mailing address
1518 CARLTON AVE NE, GRAND RAPIDS, MI 49505-5410
(616) 217-9291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013304583
NPI
MI
Enumeration date
11/01/2021
Last updated
11/01/2021
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