Individual
AARON JAMES DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
540 JENNER DR, ALLEGAN, MI 49010-1517
(269) 673-6617
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6851101342
MI
1041C0700X
Clinical Social Worker
Primary
6801118667
MI
Other
Enumeration date
12/21/2017
Last updated
06/18/2024
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