Individual
ANDESITE GROSSMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
4572 S HAGADORN RD, EAST LANSING, MI 48823-5385
(517) 481-2133
Mailing address
904 SADIE CT, MIDLAND, MI 48640-7271
(989) 971-8040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851117935
MI
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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