Individual
MRS. EUNICE BENAVIDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
255 COLRAIN ST SW STE 2, GRAND RAPIDS, MI 49548-1013
(616) 988-1479
(616) 988-1493
Mailing address
255 COLRAIN ST SW STE 2, GRAND RAPIDS, MI 49548-1013
(616) 988-1479
(616) 988-1493
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801094520
MI
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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