Individual
AUBREY JO LONGSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1545 68TH ST SE STE 200, GRAND RAPIDS, MI 49508-7896
(616) 447-5820
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801107638
MI
Other
Enumeration date
08/06/2020
Last updated
02/24/2023
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