Individual
ANDREA BOOMGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
516 CHERRY ST. SE, GRAND RAPIDS, MI 49503
(616) 456-6135
(616) 771-9779
Mailing address
516 CHERRY ST. SE, GRAND RAPIDS, MI 49503
(616) 456-6135
(616) 771-9779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801095785
MI
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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