Individual
MS. ANJALON DICEA WIMBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2000 32ND ST SE # 354, GRAND RAPIDS, MI 49508-7910
(616) 617-3762
Mailing address
2000 32ND ST SE # 354, GRAND RAPIDS, MI 49508-7910
(616) 617-3762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801081278
MI
Other
Enumeration date
08/26/2013
Last updated
02/14/2024
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