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Individual

ALICE HANLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
669 STOCKING AVE NW, GRAND RAPIDS, MI 49504
(616) 235-1480
Mailing address
3802 N 14TH PL, PHOENIX, AZ 85014-5111
(616) 309-0100

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/17/2023
Last updated
10/31/2024
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