Individual
CALVIN MARK MEUZELAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW, LMSW
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5270
(616) 455-5460
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5270
(616) 455-5460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
00572
IA
1041C0700X
Clinical Social Worker
Primary
6801019786
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136234
—
IA
Enumeration date
06/20/2006
Last updated
03/21/2018
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