Individual
BROOKE GADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
320 COMMERCE AVE SW, GRAND RAPIDS, MI 49503-4101
(616) 258-7599
(616) 222-4571
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 258-7599
(616) 222-4571
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801095704
MI
1041C0700X
Clinical Social Worker
Primary
6801095704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174941652
—
MI
Enumeration date
04/02/2014
Last updated
03/26/2025
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