Individual
MRS. CYNTHIA LAVERNE GLADYNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW,ACSW,CAAC
Contact information
Practice address
1443 ALEXANDER ST. SE, GRADN RAPIDS, MI 49506
(616) 485-9021
Mailing address
1443 ALEXANDER ST SE, GRAND RAPIDS, MI 49506-3384
(616) 485-9021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801078052
MI
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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