Individual
NICOLE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 301-8000
Mailing address
3333 36TH ST SE, GRAND RAPIDS, MI 49512-2809
(616) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
03/05/2026
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