Individual
ELLEN GRAGJEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
516 CHERRY ST SE, GRAND RAPIDS, MI 49503-4702
(616) 456-6135
(616) 771-9779
Mailing address
516 CHERRY ST SE, GRAND RAPIDS, MI 49503-4702
(616) 456-6135
(616) 771-9779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801092659
MI
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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