Individual
CHENUMA SRIKHOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
1101 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
PO BOX 609, ADA, MI 49301-0609
(616) 327-2405
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
6851119161
MI
Other
Enumeration date
08/25/2022
Last updated
11/20/2024
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